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Individual

DR. RODERICK CHEW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5779 E MAYO BLVD, PHOENIX, AZ 85054-4502
(480) 301-8000
Mailing address
5779 E MAYO BLVD, PHOENIX, AZ 85054-4502
(480) 301-8000

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
36987
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
229223
AZ
01
P00623789
RAILROAD MEDICARE
AZ
Enumeration date
07/13/2007
Last updated
10/23/2008
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