Individual
CHASE CANSLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8TH AVE AND C ST, SALT LAKE CITY, UT 84143-0001
(801) 408-3340
Mailing address
88 E NORTH TOWNE LN, NORTH SALT LAKE, UT 84054-2507
(317) 903-7450
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
10200904-3102
UT
Other
Enumeration date
05/07/2021
Last updated
05/07/2021
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