Provider First Line Business Practice Location Address:
475 S DOBSON RD
Provider Second Line Business Practice Location Address:
CHANDLER REGIONAL MEDICAL CENTER
Provider Business Practice Location Address City Name:
CHANDLER
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85224-1797
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
480-728-3753
Provider Business Practice Location Address Fax Number:
480-728-3305
Provider Enumeration Date:
07/04/2006