Charles Kenneth Requard M.D.

NPI 1851315519 - Radiology - 2085R0202X

NPI Details
NPI 1851315519
Gender Male
Enumeration Date 07/27/2006
Last Updated 12/30/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
5515 E 5TH ST
C/O ARIZONA COMMUNITY PHYSICIANS
TUCSON AZ, 85711-2415, US
Phone (520) 298-1138
Fax (520) 547-5959
Business Location
1961 N CORTE EL RANCHO MERLITA
TUCSON AZ, 85715-4493, US
Phone (520) 780-1281
Fax (520) 547-5959
Toxanomy
Taxonomy Code 2085R0202X
License State Arizona
License Number 13725
Remove 1851315519 NPI Number
 

According to our database, Dr. Charles Kenneth Requard M.D. NPI is 1851315519, taxonomy code is 2085R0202X and license number is 13725, license state is located at Arizona. Charles Kenneth Requard M.D. physically located at 5515 E 5th St, Tucson AZ, 85711-2415. NPI Number Charles Kenneth Requard M.D. has the Individual type.

Sponsored links

1851315519 NPI number is provided on an as is basis without warranty of any kind. 1851315519 is maintained by the National Plan & Provider Enumeration System. The contents of Charles Kenneth Requard M.D. are for informational purposes only.