Individual
MR. BARTLEY CHAD RUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2915 E BASELINE RD STE 101, GILBERT, AZ 85234-2427
(480) 776-0626
Mailing address
1172 N SAN BENITO DR, GILBERT, AZ 85234-2128
(480) 985-4082
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3227
AZ
Other
Enumeration date
12/23/2006
Last updated
07/08/2007
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