Provider Demographics
NPI:1972620417
Name:GEE, CHUCK HUNG (PA-C)
Entity type:Individual
Prefix:
First Name:CHUCK
Middle Name:HUNG
Last Name:GEE
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1868 W 9800 S STE 100
Mailing Address - Street 2:
Mailing Address - City:SOUTH JORDAN
Mailing Address - State:UT
Mailing Address - Zip Code:84095-4713
Mailing Address - Country:US
Mailing Address - Phone:801-433-2873
Mailing Address - Fax:801-433-5734
Practice Address - Street 1:1868 W 9800 S STE 100
Practice Address - Street 2:
Practice Address - City:SOUTH JORDAN
Practice Address - State:UT
Practice Address - Zip Code:84095-4713
Practice Address - Country:US
Practice Address - Phone:801-433-2873
Practice Address - Fax:801-433-5734
Is Sole Proprietor?:No
Enumeration Date:2007-03-22
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT287096-1206207Q00000X, 363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT287096-1206OtherUTAH LICENSE NUMBER
UTMG0297564OtherDEA
UTMG0297564OtherDEA