Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081S0010X | Sports Medicine | 5594 | AZ |
Y | 213ES0000X | Sports Medicine | 5594 | AZ |
NPI | 1144545039 |
---|---|
Provider Name | Ian Grant Chapple |
First Address | Scottsdale, AZ 85254-4054 |
Second Address | Scottsdale, AZ 85254-4054 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/04/2010 |
Last Update Date | 02/04/2010 |