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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. LELAND RUSSEL CHICK, M.D.

Active Sole Proprietor

DR. LELAND RUSSEL CHICK, M.D. is a Plastic and Reconstructive Surgery healthcare provider located in SALT LAKE CITY, Utah. NPI 1912023383 is currently active in the NPPES registry. Verify at CMS.

Plastic and Reconstructive Surgery · SALT LAKE CITY, UT

Registration Details

NPI Number
1912023383
Provider Type
Individual
Gender
Male
NPI Issued
Mar 21, 2007 (19.415534189513 yrs)
Last Updated
Jul 21, 2022
Licenses
89-180960-1205 (UT)
89-180960-1205 (UT)
Sole Proprietor
Yes

Practice Information

Address
1220 E 3900 S STE 4I
SALT LAKE CITY, UT, 841241383
Browse UT providers · Browse ZIP 84124
Phone
8013221188
Fax
8013631847
Primary Specialty
Plastic and Reconstructive Surgery
2086S0122X

Other Plastic and Reconstructive Surgery Providers in SALT LAKE CITY, UT

Name Credential NPI
JAYANT PRASAD AGARWAL 1508878372
DR. LAUREN OPAL FLORENCE M.D. 1073729943
MS. LISA M. MORRIS M.D. 1881839041
ADAM T. GOULD MD 1558821108
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.