| Chase Medical Center Pllc | |
|
3191 Stillwater Dr Suite B Prescott AZ 86305-7143 | |
| (928) 445-7085 | |
| (928) 445-7095 |
| Full Name | Chase Medical Center Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3191 Stillwater Dr, Prescott, Arizona |
| Authorized Official Name and Position | Robyn Nicole Chase (MANAGER) |
| Authorized Official Contact | 9284457085 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chase Medical Center Pllc 3191 Stillwater Dr Suite B Prescott AZ 86305-7143 Ph: (928) 445-7085 | Chase Medical Center Pllc 3191 Stillwater Dr Suite B Prescott AZ 86305-7143 Ph: (928) 445-7085 |
| NPI Number | 1609174341 |
|---|---|
| Provider Enumeration Date | 03/04/2011 |
| Last Update Date | 11/11/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609174341 | NPI | - | NPPES |
| 529404 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 005449 (Arizona) | Primary |
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