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Individual

DEREK SHANE CHUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
30 N MARIO CAPECHHI DR RM 5N200, SALT LAKE CITY, UT 84112
(801) 581-2121
Mailing address
30 N MARIO CAPECHHI DR RM 5N200, SALT LAKE CITY, UT 84112
(801) 581-2121

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
14209965-1204
UT

Other

Enumeration date
03/20/2021
Last updated
12/29/2025
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