Basic Information
Provider Information
NPI: 1083653687
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CHAPESKIE
FirstName: ALAN
MiddleName: J
NamePrefix: MR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 5055 E BROADWAY BLVD STE A100
Address2: ARIZONA COMMUNITY PHYSICIANS PC
City: TUCSON
State: AZ
PostalCode: 857113629
CountryCode: US
TelephoneNumber: 5205474906
FaxNumber: 5207950225
Practice Location
Address1: 7395 E TANQUE VERDE RD
Address2: SUITE 175 ARIZONA COMMUNITY PHYSICIANS PC ASSOC IN F
City: TUCSON
State: AZ
PostalCode: 857153475
CountryCode: US
TelephoneNumber: 5205472311
FaxNumber: 5205472320
Other Information
ProviderEnumerationDate: 06/06/2006
LastUpdateDate: 04/21/2008
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000X20448AZY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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