Individual
DR. GORDON E CHAIT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5750 W THUNDERBIRD RD, STE. A-100, GLENDALE, AZ 85306-4660
(602) 938-3205
(602) 938-5799
Mailing address
333 E VIRGINIA AVE, STE. 101, PHOENIX, AZ 85004-1206
(602) 257-4219
(602) 257-8319
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
13653
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
245987
—
AZ
05
—
799702
—
AZ
01
—
AZ0852270
BC/BS PROVIDER ID
AZ
05
—
MD980AZ
—
AL
Enumeration date
01/24/2006
Last updated
07/09/2007
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