CHASEN KENNETH HALCOMB

SHOW LOW, AZ
NPI1689184616
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2017-10-04
Last Update Date2017-10-04
Business Address
CHASEN KENNETH HALCOMB
2200 E SHOW LOW LAKE RD
SHOW LOW, AZ 85901-7831
Phone number: 928-537-4375
Mailing Address
CHASEN KENNETH HALCOMB
PO BOX 73
SHOW LOW, AZ 85902-0073
Phone number: 480-220-9570
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