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NPI Code Detail

MEDICARE: CHARLES AVAIN HUNTER

MEDICARE: CHARLES AVAIN HUNTER
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
1175T00000XPeer SpecialistF26-138134UT

General Provider Information

NPI Number : 1154259422
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHARLES AVAIN HUNTER
Provider Business Mailing Address
First Line : 117 W 400 S
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84101-1916
Country : US
Telephone Number : 385-200-0110
Fax Number :
Provider Business Practice Location Address
First Line : 117 W 400 S
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84101-1916
Country : US
Telephone Number : 385-200-0110
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/08/2026
Last Update Date : 05/08/2026

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Directions to “ CHARLES AVAIN HUNTER ” Practice Location

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