DR. Marc Chagall Rothgery, M.D. is a student in an organized health care education training program in Salt Lake City, UT with 15 years of experience. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. DR. Marc Chagall Rothgery, M.D. NPI is 1366677874. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Graduation Year:2009
The provider's business location address is:
1223 E 600 S
SALT LAKE CITY, UT
ZIP 84102-202
Phone: (518) 258-6881
The NPI 1366677874 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 5/28/2009 and was last updated on 5/28/2009.