Individual
DR. CHAD VANGINKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
144 S 500 E, SALT LAKE CITY, UT 84102-1907
(801) 463-7415
Mailing address
2222 S WELLINGTON ST, SALT LAKE CITY, UT 84106-4119
(562) 677-4742
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
8992396-1205
UT
Other
Enumeration date
05/14/2010
Last updated
09/25/2014
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