Individual
MR. CHAD EUGENE LUKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
811 N 900 W, OREM, UT 84057-7701
(801) 434-7600
(801) 434-7604
Mailing address
811 N 900 W, OREM, UT 84057-7701
(801) 434-7600
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
7809946-8002
UT
Other
Enumeration date
08/02/2022
Last updated
01/10/2023
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