Leland Russel Chick in Salt Lake City - Plastic And Reconstructive Surgery
Leland Russel Chick - NPI 1912023383
Leland Russel Chick is a Plastic And Reconstructive Surgery in Salt Lake City, Utah. Leland Russel Chick practices all healthcare services and medical treatments related to Plastic And Reconstructive Surgery. The NPI Number for Leland Russel Chick is 1912023383. The last update date is 2022-07-21.
Leland Russel Chick's current location address is 24 S 1100 E, Salt Lake City, Utah. You can contact this provider via phone number 8013221188 and fax number 8013631847. The mailing address for Leland Russel Chick is 24 S 1100 E, Salt Lake City, Utah. To know further, please read the information below!
Provider Profile Detail
Provider Name | Leland Russel Chick |
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Address | 24 S 1100 E, Salt Lake City, Utah |
Phone Number | 8013221188 |
Fax Number | 8013631847 |
Sole Proprietor | Y |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1912023383 |
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Provider Enumeration Date | 2007-03-21 |
Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
Address | 24 S 1100 E |
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City | Salt Lake City |
State | Utah (UT) |
Post Code | 841021500 |
Phone Number | 8013221188 |
Fax Number | 8013631847 |
Provider's Primary Taxonomy Detail
Speciality | Plastic And Reconstructive Surgery |
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Taxonomy | 2086S0122X |
Licence No | 89-180960-12 |
Definition: A surgeon who specializes in plastic and reconstructive surgery. |
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What is the unique 10-digit identification code issued to Leland Russel Chick by the Centers for Medicare & Medicaid Services?
The Leland Russel Chick has been assigned the NPI (National Provider Identifier) 1912023383 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Leland Russel Chick?
The Leland Russel Chick is situated at 24 S 1100 E, in the city of Salt Lake City, state of UT, with the zip code 841021500.
What is Leland Russel Chick's specialized field of practice, and what is the corresponding taxonomy classification code?
The Leland Russel Chick's area of specialization is Plastic And Reconstructive Surgery, and the corresponding taxonomy code that categorizes this field of practice is 2086S0122X.
On what date did the Leland Russel Chick receive the assignment of its 1912023383 from the Centers for Medicare & Medicaid Services?
The Leland Russel Chick was issued its 1912023383 by the Centers for Medicare & Medicaid Services on 2007-03-21.
When was the information regarding Leland Russel Chick most recently updated?
The details pertaining to the Leland Russel Chick, including its address, specialty, and other relevant information, were last refreshed on 2022-07-21.