Individual
TOMAS DAVID CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
465 S 400 E STE 300, SALT LAKE CITY, UT 84111-3349
(801) 578-8599
Mailing address
970 S EMERY ST, SALT LAKE CITY, UT 84104-2050
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9831390-4102
UT
Other
Enumeration date
03/14/2023
Last updated
03/14/2023
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