MEDICARE: JOAN FRANCES C CHUA MD

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	207R00000X	Internal Medicine Physician	31697	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1114030392
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOAN FRANCES C CHUA MD

Provider Business Mailing Address
First Line	:	PO BOX 5815
Second Line	:
City	:	PEORIA
State	:	AZ
Zip	:	85385-5815
Country	:	US
Telephone Number	:
Fax Number	:	623-455-3317

Provider Business Practice Location Address
First Line	:	3655 W ANTHEM WAY
Second Line	:	STE A-109; PMB 313
City	:	ANTHEM
State	:	AZ
Zip	:	85086-0430
Country	:	US
Telephone Number	:	623-879-5288
Fax Number	:

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

Provider Enumeration Date	:	08/15/2006
Last Update Date	:	01/21/2014

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