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MICHAEL CHISM, OPTOMETRY STUDENT

OPTOMETRY STUDENT

Student in an Organized Health Care Education/Training Program

NPI: 1770866840IndividualAccepts Medicare

Specialties, Licenses & Credentials

Student in an Organized Health Care Education/Training ProgramPrimary

Student in an Organized Health Care Education/Training Program

Code: 390200000X

CMS Specialties

PrimaryOPTOMETRY

Education

WESTERN UNIVERSITY OF HEALTH SCIENCES COLLEGE OF DENTAL MED

Class of 2015

Contact & Hours

Address
6344 S 900 E
SALT LAKE CITY, UT 84121

Quick Facts

NPI
1770866840
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
1
Locations
1
Years in Practice
11

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