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Dr. Chauntelle Vidinha, DO
Student in an Organized Health Care Education/Training Program in Kingman, Arizona
NPI 1588193627

Chauntelle Vidinha is a Student in an Organized Health Care Education/Training Program based in Kingman, AZ. Chauntelle Vidinha practices in Kingman, AZ and has the professional credentials of DO. The NPI Number for Chauntelle Vidinha is 1588193627 and holds a License No. 008625 (Arizona).

The current practice location address for Chauntelle Vidinha is 3269 N Stockton Hill Rd, Kingman, AZ and can be reached out via phone at 928-757-2101. You can also correspond with Chauntelle Vidinha through the mailing address at 1815 N STOCKTON HILL RD, KINGMAN, AZ - 86401-4667 (mailing address contact number: 928-753-9629).

Location: 3269 N Stockton Hill Rd, Kingman, AZ, 86401-4667
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588193627
Provider Name
Chauntelle Vidinha
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
3269 N Stockton Hill Rd, Kingman, AZ, 86401-4667
Phone Number
928-757-2101
Fax Number
Provider Enumeration Date
06/11/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3269 N Stockton Hill Rd
City
Kingman
State
Arizona
Zip
86409-3619
Phone Number
928-757-2101
Fax Number
person
Provider Business Mailing Address Details
Address
3269 N Stockton Hill Rd
City
Kingman
State
Arizona
Zip
86409-3619
Phone Number
928-757-2101
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
()
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
008625 (Arizona)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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