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1417301490
CHAD VAN PELT
PHOENIX, AZ
NPI
1417301490
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: AZ 60473)
Enumeration Date
2016-04-15
Last Update Date
2020-04-29
Business Address
CHAD VAN PELT
5102 W CAMPBELL AVE
PHOENIX, AZ 85031-1703
Phone number: 602-344-5011
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Mailing Address
CHAD VAN PELT
2929 E THOMAS RD
PHOENIX, AZ 85016-8034
Phone number: 602-470-5000
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