Organization
CHP CARE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARC LEIB M.D. (CEO)
(602) 708-8455
Entity
Organization
Contact information
Practice address
25812 N 67TH DR, PEORIA, AZ 85383-7135
(602) 332-3363
Mailing address
25812 N 67TH DR, PEORIA, AZ 85383-7135
(602) 332-3363
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
Other
Enumeration date
05/10/2016
Last updated
07/18/2022
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