CHAZ WHITBECK

OGDEN, UT
NPI1730551805
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: UT  95791841208)
Enumeration Date2015-10-28
Last Update Date2016-09-22
Business Address
-- CHAZ WHITBECK
1900 WASHINGTON BLVD SUITE 104
OGDEN, UT 84401-6849
Phone number: 801-612-1085
Mailing Address
-- CHAZ WHITBECK
1900 WASHINGTON BLVD SUITE 104
OGDEN, UT 84401-6849
Phone number: 801-612-1085