Provider Demographics
NPI:1205655560
Name:VANSANT-WEBB, CHAD HILTON (PHD, MPH)
Entity type:Individual
Prefix:DR
First Name:CHAD
Middle Name:HILTON
Last Name:VANSANT-WEBB
Suffix:
Gender:M
Credentials:PHD, MPH
Other - Prefix:
Other - First Name:CHAD
Other - Middle Name:HILTON
Other - Last Name:WEBB
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:354 E MILTON AVE
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84115-1758
Mailing Address - Country:US
Mailing Address - Phone:801-462-6749
Mailing Address - Fax:
Practice Address - Street 1:354 E MILTON AVE
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84115-1758
Practice Address - Country:US
Practice Address - Phone:801-462-6749
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-04
Last Update Date:2024-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program