Healthcare Provider Details

I. General information

NPI: 1366702813
Provider Name (Legal Business Name): CHASE SESSIONS D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/17/2012
Last Update Date: 04/23/2021
Certification Date: 04/16/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5171 S COTTONWOOD ST STE 305
MURRAY UT
84107-5704
US

IV. Provider business mailing address

5171 S COTTONWOOD ST STE 305
MURRAY UT
84107-5704
US

V. Phone/Fax

Practice location:
  • Phone: 801-507-9310
  • Fax:
Mailing address:
  • Phone: 801-507-9310
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number2015021873
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code2083P0011X
TaxonomyUndersea and Hyperbaric Medicine (Preventive Medicine) Physician
License Number10400109-1204
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: