Provider Demographics
NPI:1164956041
Name:CHADWICK, DAVID JOSEPH I (DO)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:JOSEPH
Last Name:CHADWICK
Suffix:I
Gender:M
Credentials:DO
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Mailing Address - Street 1:3815 E BELL RD STE 2200
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85032-2139
Mailing Address - Country:US
Mailing Address - Phone:602-633-3838
Mailing Address - Fax:602-633-3845
Practice Address - Street 1:3815 E BELL RD STE 2300
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85032-2142
Practice Address - Country:US
Practice Address - Phone:602-942-3750
Practice Address - Fax:602-942-4245
Is Sole Proprietor?:No
Enumeration Date:2017-04-17
Last Update Date:2020-07-06
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Provider Licenses
StateLicense IDTaxonomies
AZ008373207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine