Individual
CHANI MARIE TAGGART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2601 E ROOSEVELT ST, PHOENIX, AZ 85008-4973
(602) 344-5011
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
010214
AZ
208600000X
Surgery Physician
Primary
RL14698
ND
2086S0102X
Surgical Critical Care Physician
02008531A
IN
Other
Enumeration date
06/26/2017
Last updated
11/28/2025
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