Individual
DR. LYNN SCOTT CHIDESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5169 COTTONWOOD ST, SUITE 420, MURRAY, UT 84107-6767
(801) 507-3400
(801) 507-3425
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 233-4400
(801) 233-4410
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
2644411205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
942854059240
—
UT
Enumeration date
05/30/2006
Last updated
03/23/2009
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