Individual
DR. CHASE CROOKHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
925 E MCDOWELL RD FL 4, PHOENIX, AZ 85006-2502
(602) 839-6775
Mailing address
1300 N 12TH ST STE 320, PHOENIX, AZ 85006-2858
(602) 521-3600
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
009702
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/13/2020
Last updated
02/10/2023
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