Doctor Name: | DR. JOHN SPENCER CHIARA |
NPI Number: | 1134382989 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | TRN14461 |
Business Practice Address: | 2421 E Southern Ave Suite 1 Tempe, AZ - 852827612 |
Business Phone Number: | 4804252161 |
Business Fax Number: | 4808394727 |
Mailing Address: | 2222 N Val Vista Dr Unit 20, MESA |
State: | AZ |
Postal Code: | 852131736 |
Phone Number: | 7657161765 |
Fax Number: | |
NPI Enumeration Date: | 07/02/2008 |
NPI Last Update Date: | 06/14/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | TRN14461 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |