MEDICARE: CHARLES L MCCARVER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	4641	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1376589358
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHARLES L MCCARVER MD

Provider Business Mailing Address
First Line	:	3104 E CAMELBACK RD
Second Line	:	STE 619
City	:	PHOENIX
State	:	AZ
Zip	:	85016-4502
Country	:	US
Telephone Number	:	480-905-8431
Fax Number	:	480-905-6598

Provider Business Practice Location Address
First Line	:	3104 E CAMELBACK RD
Second Line	:	STE 619
City	:	PHOENIX
State	:	AZ
Zip	:	85016-4502
Country	:	US
Telephone Number	:	480-905-8431
Fax Number	:	480-905-6598

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/20/2006
Last Update Date	:	04/15/2010

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