Individual
CHAZ ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
177 W PRICE AVE, SOUTH SALT LAKE, UT 84115-4345
(385) 249-7390
Mailing address
940 E 3745 S APT 6, MILLCREEK, UT 84106-1992
(385) 249-7390
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
175T00000X
UT
175T00000X
Peer Specialist
Primary
—
UT
Other
Enumeration date
04/04/2023
Last updated
04/04/2023
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