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Organization

CHANDLER RADIOLOGY ASSOCIATES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KATHLEEN KONDAS (OFFICER)
(954) 838-2371
Entity
Organization

Contact information

Practice address
20750 N JOHN WAYNE PKWY, MARICOPA, AZ 85139
(520) 233-2468
Mailing address
PO BOX 15638, SCOTTSDALE, AZ 85267-5638
(954) 838-2371

Taxonomy

Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
2085P0229X
Pediatric Radiology Physician
2085R0202X
Diagnostic Radiology Physician
2085R0203X
Therapeutic Radiology Physician
2085R0204X
Vascular & Interventional Radiology Physician
2085U0001X
Diagnostic Ultrasound Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
F02278
AZ
Enumeration date
06/14/2013
Last updated
08/19/2019
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