Individual
CHAD R MCCOLLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5605 W EUGIE AVE STE 110, GLENDALE, AZ 85304-1273
(623) 847-2000
Mailing address
2323 W ROSE GARDEN LN, PHOENIX, AZ 85027-2530
(623) 931-7999
(623) 842-5640
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
5259
AZ
363AM0700X
Medical Physician Assistant
5259
AZ
363AS0400X
Surgical Physician Assistant
5259
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
744737
—
AZ
Enumeration date
09/05/2012
Last updated
03/11/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us