Organization
CHASE MEDICAL CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBYN NICOLE CHASE D.O. (MANAGER)
(928) 445-7085
Entity
Organization
Contact information
Practice address
3191 STILLWATER DR, SUITE B, PRESCOTT, AZ 86305-7143
(928) 445-7085
(928) 445-7095
Mailing address
3191 STILLWATER DR, SUITE B, PRESCOTT, AZ 86305-7143
(928) 445-7085
(928) 445-7095
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
005449
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529404
—
AZ
Enumeration date
03/04/2011
Last updated
11/11/2011
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