Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 50576 | AZ |
Y | 111NI0900X | Internist | 50576 | AZ |
NPI | 1003227927 |
---|---|
Provider Name | Dr. Chelsea Joy Thomsen |
First Address | Phoenix, AZ 85050-7500 |
Second Address | Phoenix, AZ 85050 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/05/2014 |
Last Update Date | 27/06/2018 |