Provider Demographics
NPI:1992768824
Name:CASE, CHARLENE VOSSELLER (MD)
Entity type:Individual
Prefix:DR
First Name:CHARLENE
Middle Name:VOSSELLER
Last Name:CASE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1738 W CHACO CIR
Mailing Address - Street 2:
Mailing Address - City:LEHI
Mailing Address - State:UT
Mailing Address - Zip Code:84043-6939
Mailing Address - Country:US
Mailing Address - Phone:413-262-8491
Mailing Address - Fax:801-216-8357
Practice Address - Street 1:1248 E 90 N STE 300
Practice Address - Street 2:
Practice Address - City:AMERICAN FORK
Practice Address - State:UT
Practice Address - Zip Code:84003-2956
Practice Address - Country:US
Practice Address - Phone:801-756-9635
Practice Address - Fax:801-216-8357
Is Sole Proprietor?:No
Enumeration Date:2006-04-11
Last Update Date:2023-03-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA160056207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT12769421OtherUTAH PHYSICIAN LICENSE