Individual
JACQUELINE CHADWICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10210 N 92ND ST, STE 106, SCOTTSDALE, AZ 85258-4509
(520) 874-3500
Mailing address
2701 E ELVIRA RD, TUCSON, AZ 85706-7124
(520) 874-3500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12887
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
977217
—
AZ
Enumeration date
02/07/2006
Last updated
10/31/2007
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