Healthcare Provider Details

I. General information

NPI: 1306106562
Provider Name (Legal Business Name): CHASE CAMPBELL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2012
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22455 N MILLER RD STE B100
SCOTTSDALE AZ
85255-4956
US

IV. Provider business mailing address

22455 N MILLER RD STE B100
SCOTTSDALE AZ
85255-4956
US

V. Phone/Fax

Practice location:
  • Phone: 480-435-9100
  • Fax: 480-702-0083
Mailing address:
  • Phone: 480-435-9100
  • Fax: 480-702-0083

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number80581
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License Number80581
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: