Individual
CHRIS GEORGE PASVANTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1034 N 500 W, PROVO, UT 84604-3380
(801) 357-8310
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 357-8310
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
58528
TN
208M00000X
Hospitalist Physician
Primary
12490723-1205
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/19/2017
Last updated
04/25/2022
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