MEDICARE: DR. DAVID CHRISTIAN CHAPMAN 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	207PS0010X	Sports Medicine (Emergency Medicine) Physician	24720	AZ

General Provider Information

NPI Number	:	1679783914
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID CHRISTIAN CHAPMAN MD

Provider Business Mailing Address
First Line	:	3119 E PUGET AVE
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85028-5328
Country	:	US
Telephone Number	:	602-493-1626
Fax Number	:

Provider Business Practice Location Address
First Line	:	4530 N 32ND ST STE 102
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85018-3357
Country	:	US
Telephone Number	:	602-493-1626
Fax Number	:

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

Provider Enumeration Date	:	05/23/2007
Last Update Date	:	07/08/2007

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