Search › Utah › 363A00000X
Chad Rebo, PA-C
NPI 1164856886 · on the registry since 2013
Practice
- Address
- 340 E 100 S
Salt Lake City, UT 84111 - Phone
- (801) 428-3500
- Fax
- (801) 322-2831
- Organisation at this address
- Odyssey House
Odyssey House Inc
Odyssey House Of UtahInferred from a shared address, not stated in the registry. - Clinicians at this address
- 37
Additional practice sites
- 802 2nd St Se, Cut Bank, MT
- 6 13th Ave E, Polson, MT
- 640 Park Ave, Shelby, MT
- 805 Sunset Blvd, Conrad, MT
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
- Licence states on file
- UT, MT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-02-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah