Healthcare Provider Details

I. General information

NPI: 1205806262
Provider Name (Legal Business Name): DAN M CHAPEL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/24/2006
Last Update Date: 04/04/2024
Certification Date: 04/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4530 E SHEA BLVD STE 180
PHOENIX AZ
85028-6042
US

IV. Provider business mailing address

4530 E SHEA BLVD STE 180
PHOENIX AZ
85028-6042
US

V. Phone/Fax

Practice location:
  • Phone: 602-264-4834
  • Fax: 602-254-5178
Mailing address:
  • Phone: 602-264-4834
  • Fax: 602-254-5178

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number19533
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: