| Chandler Family Practice, Pc | |
|
1076 W Chandler Blvd Suite 113 Chandler AZ 85224-5225 | |
| (480) 963-9334 | |
| (480) 963-0444 |
| Full Name | Chandler Family Practice, Pc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1076 W Chandler Blvd, Chandler, Arizona |
| Authorized Official Name and Position | Mary L Wilson (PRACTICE ADMIN.) |
| Authorized Official Contact | 4809639334 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chandler Family Practice, Pc 1076 W Chandler Blvd Suite 113 Chandler AZ 85224-5225 Ph: (480) 963-9334 | Chandler Family Practice, Pc 1076 W Chandler Blvd Suite 113 Chandler AZ 85224-5225 Ph: (480) 963-9334 |
| NPI Number | 1427198449 |
|---|---|
| Provider Enumeration Date | 02/07/2007 |
| Last Update Date | 05/27/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427198449 | NPI | - | NPPES |
| 251166 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 13278 (Arizona) | Primary |
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