person
Michael T Chism, OPTOMETRYSTUDENT
Student in an Organized Health Care Education/Training Program in Murray, Utah
NPI 1770866840

Michael T Chism is a Student in an Organized Health Care Education/Training Program based in Taylorsville, UT. Michael T Chism practices in Murray, UT and has the professional credentials of OPTOMETRYSTUDENT. The NPI Number for Michael T Chism is 1770866840 and holds a License No. (Utah).

The current practice location address for Michael T Chism is 6344 S 900 E, Murray, UT and can be reached out via phone at 801-892-8222. You can also correspond with Michael T Chism through the mailing address at 5924 S 1475 W, TAYLORSVILLE, UT - 84123-5380 (mailing address contact number: 909-631-7188).

Location: 6344 S 900 E, Murray, UT, 84123-5380
person
Provider Profile Details
NPI Number
1770866840
Provider Name
Michael T Chism
Credential
OPTOMETRYSTUDENT
Provider Entity Type
Individual
Gender
Male
Address
6344 S 900 E, Murray, UT, 84123-5380
Phone Number
801-892-8222
Fax Number
Provider Enumeration Date
09/24/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6344 S 900 E
City
State
Zip
84121-2439
Phone Number
801-892-8222
Fax Number
person
Provider Business Mailing Address Details
Address
5924 S 1475 W
City
State
Zip
84123-5380
Phone Number
909-631-7188
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
(California)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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