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Organization

JOSEPH L. CHATHAM, M.D. LTD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOSEPH L CHATHAM M.D. (PRESIDENT)
(480) 981-2010
Entity
Organization

Contact information

Practice address
221 S POWER RD, SUITE 101, MESA, AZ 85206-5205
(480) 981-2010
(480) 981-1771
Mailing address
221 S POWER RD, SUITE 101, MESA, AZ 85206-5205
(480) 981-2010
(480) 981-1771

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
15177
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
F02490
AZ
Enumeration date
02/02/2007
Last updated
10/05/2012
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