BENJAMIN RUSSELL CHAN

SALT LAKE CITY, UT
NPI1952528374
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: VA  0101240110)
Enumeration Date2007-04-19
Last Update Date2021-11-12
Business Address
Dr. BENJAMIN RUSSELL CHAN M.D.
650 KOMAS DR SUITE 200
SALT LAKE CITY, UT 84108-1215
Phone number: 801-581-5515
Mailing Address
Dr. BENJAMIN RUSSELL CHAN M.D.
2145 HANNIBAL ST
SALT LAKE CITY, UT 84106-4101
Phone number: 801-581-5515
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