Individual
DR. CHAD CHENOWETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1512 E 3115 S, SALT LAKE CITY, UT 84106-3456
(801) 205-4112
Mailing address
1512 E 3115 S, SALT LAKE CITY, UT 84106-3456
(801) 205-4112
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
8436457-1205
UT
Other
Enumeration date
04/01/2011
Last updated
01/19/2016
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