Individual
SWAGATA CHAKRABORTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
44572 W BOWLIN RD, MARICOPA, AZ 85138-4558
(520) 568-2245
(520) 568-2316
Mailing address
PO BOX 10097, CASA GRANDE, AZ 85130-0020
(520) 836-3446
(520) 836-8807
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
6187
AZ
Other
Enumeration date
09/14/2012
Last updated
07/21/2022
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