Organization
PALO VERDE CLINIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK CHANG MD (ADMINISTRATOR/OWNER)
(602) 395-0718
Entity
Organization
Contact information
Practice address
600 S DOBSON RD, CHANDLER, AZ 85224-5678
(602) 395-0718
(602) 277-8146
Mailing address
600 S DOBSON RD, CHANDLER, AZ 85224-5678
(602) 395-0718
(602) 277-8146
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
21908
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
346967
—
AZ
Enumeration date
07/01/2006
Last updated
08/22/2020
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