Individual
DOMINIQUE CHEVALIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
81 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1125
(801) 662-5700
Mailing address
81 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1125
(801) 662-5700
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
10956995-1205
UT
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
10956995-1205
UT
Other
Enumeration date
03/24/2017
Last updated
06/01/2022
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