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Organization

USACS EMERGENCY MEDICINE OF ARIZONA, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JENNIFER CHASTAIN (DIRECTOR OF PE AND CREDENTIALING)
(330) 323-6914
Entity
Organization

Contact information

Practice address
1301 S CRISMON RD, MESA, AZ 85209-3767
(844) 474-4019
Mailing address
4535 DRESSLER RD NW, CANTON, OH 44718-2545
(330) 493-4443
(330) 493-8677

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary

Other

Enumeration date
01/07/2025
Last updated
01/07/2025
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