Healthcare Provider Details

I. General information

NPI: 1417849894
Provider Name (Legal Business Name): GILBERT CHANDLER PSYCHIATRISTS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/18/2025
Last Update Date: 07/18/2025
Certification Date: 07/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2730 S VAL VISTA DR, BLDG 8N-STE145
GILBERT AZ
85295-1675
US

IV. Provider business mailing address

5111 N SCOTTSDALE RD STE 105
SCOTTSDALE AZ
85250-7076
US

V. Phone/Fax

Practice location:
  • Phone: 480-631-4479
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. GREG WONG
Title or Position: DIRECTOR
Credential: MD
Phone: 480-631-4479