Individual
RYAN SCOTT CHONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
1875 S REDWOOD RD, SALT LAKE CITY, UT 84104-5112
(801) 355-2846
Mailing address
1875 S REDWOOD RD, SALT LAKE CITY, UT 84104-5112
(801) 355-2846
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
8027918
UT
Other
Enumeration date
10/17/2024
Last updated
10/17/2024
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