CHANDLER FAMILY PRACTICE, PC
Ambulatory Health at Chandler Blvd, Chandler, AZ

License number
Arizona 13278
Category
Ambulatory Health
Type
Primary Care
Owner
Name: MRS. MARY L WILSON
Title: PRACTICE ADMIN.
Phone: (480) 963-9334
Address
Address
1076 W Chandler Blvd SUITE 113, Chandler, AZ 85224
National Provider ID: 1427198449
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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CHANDLER FAMILY PRACTICE, PC

1076 W Chandler Blvd #113, Chandler, AZ 85224

Registration:
Jun 4, 1985
State ID:
-0175936-1
Expiration:
PERPETUAL
Vice-presidents:
Mark H Wilson (President/ceo), 1076 W Chandler Blvd #113, Chandler, AZ 85224 (Physical),Mary Wilson (Secretary), 1076 W Chandler Blvd #113, Chandler, AZ 85224 (Physical),Timothy Wilson (Vice-president), 1076 W Chandler Blvd #113, Chandler, AZ 85224 (Physical)
Agent:
Mark H Wilson Md,1076 W Chandler Blvd #113, Chandler, AZ 85224 (Physical)
Business type:
HEALTH CARE

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