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Christopher Leif Chakrampilly Thomas

Community Health Worker in Clearfield, UT. Individual provider (NPI-1).

NPI number1376013169
StatusActive
Last updated in NPPESDec 5, 2018

Details

NPI
1376013169
Entity type
Individual (NPI-1)
Name
Christopher Leif Chakrampilly Thomas
Sex
Male
Sole proprietor
No
Enumeration date
Dec 5, 2018
Last updated
Dec 5, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172V00000X Community Health Worker––Yes

Practice location

387 E 450 S
Clearfield, UT 84015-1734

Phone 801-719-4675

Mailing address

299 N 200 W
Bountiful, UT 84010-7043

Phone 801-815-3443 · Fax 801-683-8962

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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