Individual
MARCUS CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2121 N 1700 W, LAYTON, UT 84041-8803
(801) 773-4840
Mailing address
883 W 2650 N, CLINTON, UT 84015-9141
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9132204-1206
UT
Other
Enumeration date
10/02/2018
Last updated
11/12/2021
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