Provider Demographics
NPI:1992179410
Name:AR HEALTHCARE CHANDLER PLLC
Entity Type:Organization
Organization Name:AR HEALTHCARE CHANDLER PLLC
Other - Org Name:VALLEY PAIN AND WELLNESS CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-895-3233
Mailing Address - Street 1:2040 S ALMA SCHOOL RD
Mailing Address - Street 2:STE #14
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85286-7076
Mailing Address - Country:US
Mailing Address - Phone:480-895-3233
Mailing Address - Fax:
Practice Address - Street 1:2040 S ALMA SCHOOL RD
Practice Address - Street 2:STE #14
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85286-7076
Practice Address - Country:US
Practice Address - Phone:480-895-3233
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-20
Last Update Date:2016-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ8412111N00000X
111N00000X
AZAP3893363LF0000X
AZAP4291363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty