Individual
DR. PHILLIP LEE CHAFFIN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1055 N 300 W, STE 401, PROVO, UT 84604-3306
(801) 357-7499
(801) 373-5980
Mailing address
1055 N 300 W, STE 401, PROVO, UT 84604-3306
(801) 357-7499
(801) 373-5980
Taxonomy
Speciality
Code
Description
License number
State
207YP0228X
Pediatric Otolaryngology Physician
Primary
9348982-1205
UT
Other
Enumeration date
06/03/2009
Last updated
07/13/2015
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