Provider Demographics
NPI:1427117894
Name:CHATTMAN, MARTIN S (MD)
Entity type:Individual
Prefix:DR
First Name:MARTIN
Middle Name:S
Last Name:CHATTMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:9590 E IRONWOOD SQUARE DR
Mailing Address - Street 2:STE 125
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-4581
Mailing Address - Country:US
Mailing Address - Phone:480-455-3000
Mailing Address - Fax:866-819-6115
Practice Address - Street 1:36889 N TOM DARLINGTON DR
Practice Address - Street 2:SUITE A4
Practice Address - City:CAREFREE
Practice Address - State:AZ
Practice Address - Zip Code:85377-5925
Practice Address - Country:US
Practice Address - Phone:480-488-9220
Practice Address - Fax:480-488-7014
Is Sole Proprietor?:No
Enumeration Date:2006-12-08
Last Update Date:2016-11-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ7618207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZOTC3627OtherOUTPATIENT TREATMENT CTR
AZ03D0527898OtherCLIA
AZ1790889319OtherCLM MEDICAL MANAGE NPI
AZOTC3627OtherOUTPATIENT TREATMENT CTR
AZZ69956Medicare ID - Type Unspecified
AZ03D0527898OtherCLIA