Charles Redmond Breed in Tempe - Specialist
Charles Redmond Breed - NPI 1104813872
Charles Redmond Breed is a Specialist in Tempe, Arizona. Charles Redmond Breed practices all healthcare services and medical treatments related to Specialist. The NPI Number for Charles Redmond Breed is 1104813872. The last update date is 2007-09-27.
Charles Redmond Breed's current location address is 2055 E Southern Ave, Tempe, Arizona. You can contact this provider via phone number 4808978484 and fax number 4808978631. The mailing address for Charles Redmond Breed is 2055 E Southern Ave, Tempe, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles Redmond Breed |
|---|---|
| Address | 2055 E Southern Ave, Tempe, Arizona |
| Phone Number | 4808978484 |
| Fax Number | 4808978631 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1104813872 |
|---|---|
| Provider Enumeration Date | 2005-09-28 |
| Last Updated Date | 2007-09-27 |
Provider Mailing Address Detail
| Address | 2055 E Southern Ave |
|---|---|
| City | Tempe |
| State | Arizona (AZ) |
| Post Code | 852827507 |
| Phone Number | 4808978484 |
| Fax Number | 4808978631 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 10034 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 628739 | AZ | VA BCBS | |
| 4310 | AZ | BANNER HEALTH PLANS | |
| 1Z1867 | AZ | HEALTHNET | |
| 207713 | AZ | -- |
Post Comment/ Review Below
What is the Charles Redmond Breed's 1104813872?
The Charles Redmond Breed's NPI (National Provider Identifier) Number is 1104813872. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Charles Redmond Breed's facilities are situated?
The facilities of Charles Redmond Breed are physically located at the following address: 2055 E Southern Ave, Tempe, AZ, 852827507.
What is Charles Redmond Breed's area of expertise and its corresponding taxonomy classification?
The Charles Redmond Breed's field of specialization is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1104813872 assigned to Charles Redmond Breed?
The Charles Redmond Breed was issued its 1104813872 on 2005-09-28, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Charles Redmond Breed most recently updated or revised?
The details related to Charles Redmond Breed, including its address, specialty, and other relevant information, were last updated or revised on 2007-09-27.
NPI Number: 1528061710
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