Individual
MICHELLE CHASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
18221 N 66TH LN, GLENDALE, AZ 85308-1014
(602) 561-7304
Mailing address
18221 N 66TH LN, GLENDALE, AZ 85308-1014
(602) 561-7304
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
005254
AZ
Other
Enumeration date
04/09/2009
Last updated
04/09/2009
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