Individual
MRS. KARI SUSAN CHACON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4550 N 51ST AVE, PHOENIX, AZ 85031-1708
(623) 846-7597
(623) 846-1826
Mailing address
6161 W MCDOWELL RD, #2087, PHOENIX, AZ 85035-4881
(623) 518-6129
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
3391
AZ
Other
Enumeration date
06/09/2006
Last updated
07/08/2007
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