Whalio Doctors

NPI 1023199825

Charles Olin Canfield, MD

Practitioner Addiction Medicine (Family Medicine) Physician South Jordan, UT

Practice location

Address
10437 S Jordan Gtwy, South Jordan, UT 84095-3915
Phone
(801) 877-0705
Fax
(801) 335-5957
Mailing address
PO Box 709391, Sandy, UT 84070-9391

Registered specialties (2)

Addiction Medicine (Family Medicine) Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207QA0401X Licence 182809-1205 (UT)
Family Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 182809-1205 (UT)

Registry record

NPI
1023199825
Entity type
Individual
Sex (as registered)
Male
NPI issued
18 Oct 2006
Record last updated
4 Jan 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.