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Michael Chism, OPTOMETRY STUDENT
NPI 1770866840 · on the registry since 2011
Practice
- Address
- 6344 S 900 E
Murray, UT 84121 - Phone
- (801) 892-8222
- Organisation at this address
- Roxbury Institute Salt Lake City Pllc
Roxbury Institute Slc Surgical Center LlcInferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Student in an Organized Health Care Education/Training Program
390200000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-01-22
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