Search › Arizona › 156FX1800X

Chance Mizell

NPI 1720771199 · on the registry since 2023 · sole proprietor

Practice

Address
7635 N La Cholla Blvd
Tucson, AZ 85741
Phone
(520) 297-2704
Organisation at this address
Walmart Inc.
Wal-Mart Stores, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
7

Registry record

Primary taxonomy
156FX1800X
156FX1800X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-05-31

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona