Organization
CHANDLER PHYSIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRACE MALONEY MD (OWNER/PROVIDER)
(602) 594-5400
Entity
Organization
Contact information
Practice address
1515 W CHANDLER BLVD, CHANDLER, AZ 85224-6141
(602) 594-5400
Mailing address
3920 E THOMAS RD UNIT 15641, PHOENIX, AZ 85060-2629
Taxonomy
Speciality
Code
Description
License number
State
2081P0004X
Spinal Cord Injury Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
399596
—
AZ
Enumeration date
09/09/2019
Last updated
10/09/2019
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