CHAD DORMAN DANSIE

SALT LAKE CITY, UT
NPI1215392287
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: UT  7741509-4405)
Enumeration Date2015-12-17
Last Update Date2015-12-17
Business Address
-- CHAD DORMAN DANSIE NNP
200 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84132-0001
Phone number: 801-662-4100
Mailing Address
-- CHAD DORMAN DANSIE NNP
6744 W MALISSA ANN DR
HERRIMAN, UT 84096-6957
Phone number: 801-446-2681