Organization
CHANDLER FAMILY PRACTICE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY L WILSON (PRACTICE ADMIN.)
(480) 963-9334
Entity
Organization
Contact information
Practice address
1076 W CHANDLER BLVD, SUITE 113, CHANDLER, AZ 85224-5225
(480) 963-9334
(480) 963-0444
Mailing address
1076 W CHANDLER BLVD, SUITE 113, CHANDLER, AZ 85224-5225
(480) 963-9334
(480) 963-0444
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
13278
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251166
—
AZ
Enumeration date
02/07/2007
Last updated
05/27/2008
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