DEREK SHANE CHUNG

SALT LAKE CITY, UT
NPI1578149670
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207LP2900X Anesthesiology, Pain Medicine
(Licence: UT  14209965-1204)
Enumeration Date2021-03-20
Last Update Date2025-12-29
Business Address
DEREK SHANE CHUNG DO
30 N MARIO CAPECHHI DR RM 5N200
SALT LAKE CITY, UT 84112
Phone number: 801-581-2121
Mailing Address
DEREK SHANE CHUNG DO
30 N MARIO CAPECHHI DR RM 5N200
SALT LAKE CITY, UT 84112
Phone number: 801-581-2121
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