Individual
ELIZABETH MAE CHABOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8 TH AVE C ST, SALT LAKE CITY, UT 84143-1001
(801) 408-1100
Mailing address
1435 E PERRY AVE, SALT LAKE CITY, UT 84103-4474
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
9693729-1205
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/11/2011
Last updated
03/17/2018
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