Organization
INTEGRATED MEDICAL SPECIALISTS PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON M CHASTANT NMD (PRESIDENT, CEO)
(480) 993-9199
Entity
Organization
Contact information
Practice address
930 N SWITZER CANYON DR STE 104, FLAGSTAFF, AZ 86001-4834
(928) 499-3100
Mailing address
1812 N HORNET WAY, FLAGSTAFF, AZ 86004-7703
(480) 993-9199
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
05/09/2022
Last updated
05/09/2022
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