Healthcare Provider Details

I. General information

NPI: 1851868640
Provider Name (Legal Business Name): SITNEY DANIEL CHOGAS P.A.-C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/30/2018
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1160 E 3900 S STE 5000
SALT LAKE CITY UT
84124-1275
US

IV. Provider business mailing address

PO BOX 100253
ATLANTA GA
30384-0253
US

V. Phone/Fax

Practice location:
  • Phone: 801-261-7479
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License Number12021275-1206
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: