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Chad Leblanc, DO
Emergency Medical Services (Emergency Medicine) Physician in Provo, Utah
NPI 1588604532

Chad Leblanc is a Emergency Medical Services (Emergency Medicine) Physician based in Spanish Fork, UT and is specialized in Emergency Medical Services. Chad Leblanc practices in Provo, UT and has the professional credentials of DO. The NPI Number for Chad Leblanc is 1588604532 and holds a License No. 58708721204 (Utah).

The current practice location address for Chad Leblanc is 1034 North 500 West, Provo, UT and can be reached out via phone at 801-373-7850.

Location: 1034 North 500 West, Provo, UT, 84660-0010
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588604532
Provider Name
Chad Leblanc
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
1034 North 500 West, Provo, UT, 84660-0010
Phone Number
801-373-7850
Fax Number
Provider Enumeration Date
06/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
58708721200001 01 BCBS
58708721202001 01 UT BCBS
P00295439 01 RAILROAD MEDICARE
P00420439 01 UT RAIL ROAD MEDICARE
1588604532 05 UT
institution
Provider Business Practice Location Address Details
Address
1034 North 500 West
City
Provo
State
Utah
Zip
84604
Phone Number
801-373-7850
Fax Number
person
Provider Business Mailing Address Details
Address
1034 North 500 West
City
Provo
State
Utah
Zip
84604
Phone Number
801-373-7850
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
Emergency Medical Services
Taxonomy
207PE0004X
License No.
58708721204 (Utah)
Definition
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
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