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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