Basic Information
| Provider Information | |||||||||
| NPI: | 1003006354 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | CHELSON | ||||||||
| FirstName: | DEBORA | ||||||||
| MiddleName: | ANN | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | NMD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 11650 E OLD SPANISH TRL | ||||||||
| Address2: | |||||||||
| City: | TUCSON | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 857305666 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5204379562 | ||||||||
| FaxNumber: | 5207221904 | ||||||||
| Practice Location | |||||||||
| Address1: | 11650 E OLD SPANISH TRL | ||||||||
| Address2: | |||||||||
| City: | TUCSON | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 857305666 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5204379562 | ||||||||
| FaxNumber: | 5207221904 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/01/2007 | ||||||||
| LastUpdateDate: | 08/01/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 175F00000X | 94-451 | AZ | Y | Other Service Providers | Naturopath |
No ID Information.