Individual
MRS. LISA SANDOVAL CHAPMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
1046 E 100 S, SALT LAKE CITY, UT 84102-1520
(801) 746-2885
Mailing address
1920 E HERBERT AVE, SALT LAKE CITY, UT 84108-1834
(801) 597-9037
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9008826-1206
UT
Other
Enumeration date
07/30/2014
Last updated
11/12/2021
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