Individual
CHAD GREGORY GLEASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
14520 W GRANITE VALLEY DR STE 210, SUN CITY WEST, AZ 85375-5855
(866) 974-2673
(866) 939-2673
Mailing address
18444 N 25TH AVE STE 310, PHOENIX, AZ 85023-1266
(866) 974-2673
(866) 939-2673
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8236
AZ
363A00000X
Physician Assistant
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
083416
—
AZ
Enumeration date
02/18/2019
Last updated
08/13/2025
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