MEDICARE: MISS CHANDLER SUZANNE DELAHUNT PA-C

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
1	363AM0700X	Medical Physician Assistant

General Provider Information

NPI Number	:	1295479194
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS CHANDLER SUZANNE DELAHUNT PA-C

Provider Business Mailing Address
First Line	:	4175 S ALAMO AVE
Second Line	:
City	:	DM AFB
State	:	AZ
Zip	:	85707-4402
Country	:	US
Telephone Number	:	520-228-2850
Fax Number	:

Provider Business Practice Location Address
First Line	:	355 MDG/SGGM
Second Line	:	4175 SOUTH ALAMO AVENUE
City	:	D-M AFB
State	:	AZ
Zip	:	85707-4406
Country	:	US
Telephone Number	:	520-228-2850
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/26/2022
Last Update Date	:	11/26/2025

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