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NPI Code Detail

MEDICARE: JUNE S CHEN MD PC

MEDICARE: JUNE S CHEN MD PC
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
1208200000XPlastic Surgery Physician47536UT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1255339255
Entity Type Code : Organization
Provider Name (Legal Business Name) : JUNE S CHEN MD PC
Provider Business Mailing Address
First Line : 7240 HIGHLAND DR
Second Line : SUITE 175
City : SALT LAKE CITY
State : UT
Zip : 84121-5532
Country : US
Telephone Number : 801-943-0401
Fax Number : 801-943-8897
Provider Business Practice Location Address
First Line : 7240 HIGHLAND DRIVE
Second Line : SUITE 175
City : SALT LAKE CITY
State : UT
Zip : 84121-5532
Country : US
Telephone Number : 801-943-0401
Fax Number : 801-943-8897
Authorized Official
Title or Position : PRESIDENT
Name : JUNE S CHEN
Credential : MD
Telephone Number : 801-943-0401
Provider Enumeration Date : 07/13/2005
Last Update Date : 08/22/2020

Similar Medicare Providers

1942207048 — JUNE S. CHEN M.D.
Practice Location Address:
7240 HIGHLAND DR , SUITE 175
SALT LAKE CITY, UT
84121-5532
Practice Phone: 801-943-0401
Practice Fax: 801-943-8897
1043256308 — DR. WILLIAM MICHAEL SERGAKIS D.D.S.
Practice Location Address:
7240 HIGHLAND DR , SUITE 102
SALT LAKE CITY, UT
84121-5532
Practice Phone: 801-733-0864
Practice Fax: 801-733-4920
1548243645 — DR. KELLY H WOODWARD I D.O., M.P.H.
Practice Location Address:
5532 LILLEHAMMER LN STE 102
PARK CITY, UT
84098-6078
Practice Phone: 435-659-7633
Practice Fax: 971-397-0394
1942524566 — AUTUMN BEAR L.AC
Practice Location Address:
5532 LILLEHAMMER LN STE 102
PARK CITY, UT
84098-6078
Practice Phone: 435-659-7633
Practice Fax: 971-397-0394
1679887962 — DR. STEPHANIE CASTLE OD
Practice Location Address:
6584 CREEKSIDE DR
PARK CITY, UT
84098-5532
Practice Phone: 435-649-5200
Practice Fax:
1720364771 — ELISABETH NICHOLE DREYER L.AC.
Practice Location Address:
5532 LILLEHAMMER LN STE 102
PARK CITY, UT
84098-6078
Practice Phone: 970-618-4788
Practice Fax:

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