Individual
ERIC B CHATTERLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5323 WOODROW ST STE 202, SALT LAKE CITY, UT 84107-5848
(801) 713-0606
(801) 713-0609
Mailing address
5323 WOODROW ST STE 202, SALT LAKE CITY, UT 84107-5848
(801) 713-0606
(801) 713-0609
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
7463765-1206
UT
Other
Enumeration date
09/24/2009
Last updated
09/24/2009
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