NPI 1255620068

Chad Chenoweth, MD

Practitioner General Practice Physician Salt Lake City, UT

Practice location

Address: 1512 E 3115 S, Salt Lake City, UT 84106-3456
Phone: (801) 205-4112

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 8436457-1205 (UT)

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Registry record

NPI: 1255620068
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Apr 2011
Record last updated: 19 Jan 2016

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.