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NPI Code Detail

MEDICARE: CESAR PRUGUE CHAMORRO

MEDICARE: CESAR PRUGUE CHAMORRO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1093663247
Entity Type Code : Individual
Provider Name (Legal Business Name) : CESAR PRUGUE CHAMORRO
Provider Business Mailing Address
First Line : 475 W 940 N
Second Line :
City : PROVO
State : UT
Zip : 84604-3301
Country : US
Telephone Number : 801-357-7930
Fax Number :
Provider Business Practice Location Address
First Line : 475 W 940 N
Second Line :
City : PROVO
State : UT
Zip : 84604-3301
Country : US
Telephone Number : 801-357-7930
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2026
Last Update Date : 03/20/2026

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Directions to “ CESAR PRUGUE CHAMORRO ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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