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Individual

DR. RICHARD LANCE CHILIAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2539 WEST BLOCH ROAD, PHOENIX, AZ 85041-2908
(602) 749-0738
(602) 749-0738
Mailing address
2539 WEST BLOCH ROAD, PHOENIX, AZ 85041-2908
(602) 749-0738
(602) 749-0738

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
11234
AZ
208600000X
Surgery Physician
4905
ND

Other

Enumeration date
12/15/2010
Last updated
12/15/2010
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