Robert Chase Mcdonald in Salt Lake City - Physician Assistant

Robert Chase Mcdonald - NPI 1285763862

Robert Chase Mcdonald is a Physician Assistant in Salt Lake City, Utah. Robert Chase Mcdonald practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Robert Chase Mcdonald is 1285763862. The last update date is 2023-09-04.

Robert Chase Mcdonald's current location address is 4624 S Holladay Blvd., Salt Lake City, Utah. You can contact this provider via phone number 8012663113. The mailing address for Robert Chase Mcdonald is 4624 S Holladay Blvd., Salt Lake City, Utah. To know further, please read the information below!

Provider Profile Detail

Provider Name Robert Chase Mcdonald
Address 4624 S Holladay Blvd., Salt Lake City, Utah
Phone Number 8012663113
Fax Number
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1285763862
Provider Enumeration Date 2007-03-02
Last Updated Date 2023-09-04

Provider Mailing Address Detail

Address 4624 S Holladay Blvd.
City Salt Lake City
State Utah (UT)
Post Code 841177168
Phone Number 8012663113
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No PA10005181
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
221381 WA LABOR & IND.
8944544 WA CRIME VICTIMS
8483737 WA --

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FAQs about Robert Chase Mcdonald

What is the unique 10-digit identifier code assigned to Robert Chase Mcdonald by the Centers for Medicare & Medicaid Services?

The Robert Chase Mcdonald has been issued the NPI (National Provider Identifier) 1285763862 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you share the physical location details of Robert Chase Mcdonald?

The Robert Chase Mcdonald is situated at 4624 S Holladay Blvd., in the city of Salt Lake City, state of UT, with the zip code 841177168.

What is Robert Chase Mcdonald's specialized field of practice, and what is the corresponding taxonomy classification code?

The Robert Chase Mcdonald's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.

On what date did the Robert Chase Mcdonald receive the assignment of its 1285763862 from the Centers for Medicare & Medicaid Services?

The Robert Chase Mcdonald was issued its 1285763862 by the Centers for Medicare & Medicaid Services on 2007-03-02.

When was the information regarding Robert Chase Mcdonald, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Robert Chase Mcdonald, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2023-09-04.

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