Individual
DR. DANE M CHAPMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
216 S MAIN ST, SPRING CITY, UT 84662-0039
(435) 813-2624
(435) 355-3688
Mailing address
PO BOX 39, SPRING CITY, UT 84662-0039
(435) 813-2624
(435) 355-3688
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5908503-1205
UT
208D00000X
General Practice Physician
5908503-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5197400
—
MI
01
—
DC089450
BLUE CROSS BLUE SHIELD
—
01
—
P00419545
RAILROAD MEDICARE
—
Enumeration date
06/13/2006
Last updated
05/15/2019
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