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Individual

DR. RICHARD WILLIAM CHAPA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
850 E 300 S, SUITE 1, SALT LAKE CITY, UT 84102-2332
(801) 322-1214
(801) 322-3613
Mailing address
850 E 300 S, SUITE 1, SALT LAKE CITY, UT 84102-2332
(801) 322-1214
(801) 322-3613

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
159343-1205
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
46D0704114
CLIA #
UT
01
87-0280366
TAX ID #
UT
Enumeration date
10/03/2006
Last updated
03/07/2023
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