Charles Kenneth Requard in Tucson - Diagnostic Radiology

Charles Kenneth Requard - NPI 1851315519

Charles Kenneth Requard is a Diagnostic Radiology in Tucson, Arizona. Charles Kenneth Requard practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Charles Kenneth Requard is 1851315519. The last update date is 2013-12-30.

Charles Kenneth Requard's current location address is 1961 N Corte El Rancho Merlita, Tucson, Arizona. You can contact this provider via phone number 5207801281 and fax number 5205475959. The mailing address for Charles Kenneth Requard is 1961 N Corte El Rancho Merlita, Tucson, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Name Charles Kenneth Requard
Address 1961 N Corte El Rancho Merlita, Tucson, Arizona
Phone Number 5207801281
Fax Number 5205475959
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1851315519
Provider Enumeration Date 2006-07-27
Last Updated Date 2013-12-30

Provider Mailing Address Detail

Address 1961 N Corte El Rancho Merlita
City Tucson
State Arizona (AZ)
Post Code 857154493
Phone Number 5207801281
Fax Number 5205475959

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Licence No 13725
Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
8552002 AZ --

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FAQs about Charles Kenneth Requard

What is the unique provider identifier assigned to Charles Kenneth Requard?

The Charles Kenneth Requard has been issued the NPI (National Provider Identifier) 1851315519 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you share the physical location details of Charles Kenneth Requard?

The Charles Kenneth Requard is situated at 1961 N Corte El Rancho Merlita, in the city of Tucson, state of AZ, with the zip code 857154493.

What is Charles Kenneth Requard's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Charles Kenneth Requard is Diagnostic Radiology, and the taxonomy code that categorizes this field of expertise is 2085R0202X.

On what date did the Charles Kenneth Requard receive the assignment of its 1851315519 from the Centers for Medicare & Medicaid Services?

The Charles Kenneth Requard was issued its 1851315519 by the Centers for Medicare & Medicaid Services on 2006-07-27.

When was the information regarding Charles Kenneth Requard most recently updated?

The details pertaining to the Charles Kenneth Requard, including its address, specialty, and other relevant information, were last refreshed on 2013-12-30.

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