Individual
CHAZ WHITBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1900 WASHINGTON BLVD, SUITE 104, OGDEN, UT 84401-6849
(801) 612-1085
(801) 337-1104
Mailing address
1900 WASHINGTON BLVD, SUITE 104, OGDEN, UT 84401-6849
(801) 612-1085
(801) 337-1104
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
95791841208
UT
Other
Enumeration date
10/28/2015
Last updated
09/22/2016
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