Healthcare Provider Details

I. General information

NPI: 1386964500
Provider Name (Legal Business Name): TODD WILLIAM CHAPMAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/10/2010
Last Update Date: 08/05/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10757 N 74TH ST #2008
SCOTTSDALE AZ
85260-6464
US

IV. Provider business mailing address

10757 N 74TH ST #2008
SCOTTSDALE AZ
85260-6464
US

V. Phone/Fax

Practice location:
  • Phone: 480-980-5314
  • Fax:
Mailing address:
  • Phone: 480-980-5314
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberR72286
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code2085B0100X
TaxonomyBody Imaging Physician
License Number46373
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: