is a Surgical in Chandler, Arizona. practices all healthcare services and medical treatments related to Surgical. The NPI Number for is 1285745091. The last update date is .
's current location address is Po Box 12510, Chandler, Arizona. You can contact this provider via phone number 6237774747 and fax number 6237774748. The mailing address for is Po Box 12510, Chandler, Arizona. To know further, please read the information below!
Provider Profile Detail
Provider Name | |
---|---|
Address | Po Box 12510, Chandler, Arizona |
Phone Number | 6237774747 |
Fax Number | 6237774748 |
Sole Proprietor | -- |
Credentials | -- |
NPI Number Detail
NPI Number | 1285745091 |
---|---|
Provider Enumeration Date | |
Last Updated Date |
Provider Mailing Address Detail
Address | Po Box 12510 |
---|---|
City | Chandler |
State | Arizona (AZ) |
Post Code | 852480026 |
Phone Number | 6237774747 |
Fax Number | 6237774748 |
Provider's Primary Taxonomy Detail
Speciality | Surgical |
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Taxonomy | 363As0400X |
Licence No | 3462 |
Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
133896 | AZ | -- |
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