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NPI Code Detail

MEDICARE: CHANDLER NEUROHOSPITALISTS, PLC

MEDICARE: CHANDLER NEUROHOSPITALISTS, PLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084N0400XNeurology Physician

General Provider Information

NPI Number : 1073067377
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHANDLER NEUROHOSPITALISTS, PLC
Provider Business Mailing Address
First Line : 2201 W FAIRVIEW ST
Second Line : SUITE 1
City : CHANDLER
State : AZ
Zip : 85224-4711
Country : US
Telephone Number : 480-800-4890
Fax Number : 480-427-4766
Provider Business Practice Location Address
First Line : 2201 W FAIRVIEW ST
Second Line : SUITE 1
City : CHANDLER
State : AZ
Zip : 85224-4711
Country : US
Telephone Number : 480-800-4890
Fax Number : 480-427-4766
Authorized Official
Title or Position : BILLING MANAGER
Name : CHRISTINA M STICKLE
Credential :
Telephone Number : 480-389-2798
Provider Enumeration Date : 08/04/2016
Last Update Date : 08/04/2016

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Directions to “CHANDLER NEUROHOSPITALISTS, PLC ” Practice Location

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