Individual
CHAD LANGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 N BEAVER ST, FLAGSTAFF, AZ 86001-3118
(602) 344-5808
Mailing address
1600 W UNIVERSITY AVE STE 215, FLAGSTAFF, AZ 86001-3115
(602) 344-5808
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
43368
AZ
Other
Enumeration date
09/30/2009
Last updated
09/17/2015
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