Individual
ANDREW THOMAS CHEVALIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
81 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1125
(801) 662-5700
Mailing address
81 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1125
(801) 662-5700
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
11415673-1205
UT
208000000X
Pediatrics Physician
11415673-1205
UT
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
11415673-1205
UT
Other
Enumeration date
03/22/2018
Last updated
12/27/2025
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