Provider Demographics
NPI:1538271861
Name:DECHET, CHRISTOPHER BURR (MD)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:BURR
Last Name:DECHET
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:849 18TH AVE
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84103-3720
Mailing Address - Country:US
Mailing Address - Phone:801-587-4383
Mailing Address - Fax:801-585-0151
Practice Address - Street 1:1950 CIRCLE OF HOPE DR
Practice Address - Street 2:RM 6755
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84112-5500
Practice Address - Country:US
Practice Address - Phone:801-587-4383
Practice Address - Fax:801-585-0151
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2023-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT4991493-1205208800000X, 284300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
No284300000XHospitalsSpecial Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
UTD4274Medicaid
UTD4274Medicaid
UT005766107Medicare ID - Type Unspecified