Individual
CHAUNCEY THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
188 E JEFFERSON ST, PHOENIX, AZ 85004-2959
(615) 485-6906
Mailing address
522 N CENTRAL AVE, #721, PHOENIX, AZ 85001
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
07/21/2023
Last updated
12/05/2023
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