Charles Kip Deweese APRN

NPI 1063506889 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1063506889
Gender Male
Enumeration Date 10/03/2006
Last Updated 11/22/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
82 S 1100 E
SUITE 204
SALT LAKE CITY UT, 84102-1686, US
Phone (801) 350-4602
Fax
Business Location
82 S 1100 E
SUITE 204
SALT LAKE CITY UT, 84102-1686, US
Phone (801) 350-4602
Fax
Toxanomy
Taxonomy Code 363L00000X
License State Utah
License Number 206077-4405
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According to our database, Charles Kip Deweese APRN NPI is 1063506889, taxonomy code is 363L00000X and license number is 206077-4405, license state is located at Utah. Charles Kip Deweese APRN physically located at 82 S 1100 E, Salt Lake City UT, 84102-1686. NPI Number Charles Kip Deweese APRN has the Individual type.

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1063506889 NPI number is provided on an as is basis without warranty of any kind. 1063506889 is maintained by the National Plan & Provider Enumeration System. The contents of Charles Kip Deweese APRN are for informational purposes only.