Organization
CHARLES CANFIELD, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES OLIN CANFIELD MD (PROVIDER)
(801) 602-4256
Entity
Organization
Contact information
Practice address
897 S 300 W, OREM, UT 84058-6792
(801) 602-4256
Mailing address
897 S 300 W, OREM, UT 84058-6792
(801) 602-4256
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
11/28/2007
Last updated
01/04/2021
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