Ch Specialty Services Az LLC
Internal Medicine in Surprise, AZ. Organization (NPI-2).
NPI number1982303392
StatusActive
Last updated in NPPESMar 21, 2025
Details
- NPI
- 1982303392
- Entity type
- Organization (NPI-2)
- Legal business name
- Ch Specialty Services Az LLC
- Organization subpart
- No
- Enumeration date
- Feb 24, 2023
- Certification date
- Mar 21, 2025
- Last updated
- Mar 21, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
Practice location
13755 N Litchfield Rd Ste 105Surprise, AZ 85379-4288
Phone 337-408-0797
Mailing address
5750 Johnston St Ste 205Lafayette, LA 70503-5345
Phone 337-408-0797 · Fax 337-943-0846
Authorized official
Nicole Howard
Sr Vp Of Administrative Services
3374080797
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