Provider Demographics
NPI:1912113085
Name:CHIARA, JOSEPH AHLSTROM (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:AHLSTROM
Last Name:CHIARA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3805 EAST BELL ROAD
Mailing Address - Street 2:SUITE 5800
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85032-2162
Mailing Address - Country:US
Mailing Address - Phone:602-688-6500
Mailing Address - Fax:602-867-3144
Practice Address - Street 1:3806 EAST BELL ROAD
Practice Address - Street 2:SUITE 5800
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85032-2160
Practice Address - Country:US
Practice Address - Phone:602-688-6500
Practice Address - Fax:602-867-3144
Is Sole Proprietor?:No
Enumeration Date:2007-05-15
Last Update Date:2014-06-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ46992207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology