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NPI Code Detail

MEDICARE: DR. CHARLES MICHAEL CREASMAN M.D.

MEDICARE: DR. CHARLES MICHAEL CREASMAN M.D.
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
1207X00000XOrthopaedic Surgery Physician13814AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
23Z3958OTHERAZHEALTHNET

General Provider Information

NPI Number : 1659351989
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHARLES MICHAEL CREASMAN M.D.
Provider Business Mailing Address
First Line : 444 W OSBORN ROAD
Second Line : SUITE 200
City : PHOENIX
State : AZ
Zip : 85013-3817
Country : US
Telephone Number : 602-230-1400
Fax Number : 602-230-7676
Provider Business Practice Location Address
First Line : 444 W OSBORN RD
Second Line : SUITE 200
City : PHOENIX
State : AZ
Zip : 85013-3817
Country : US
Telephone Number : 602-230-1400
Fax Number : 602-230-7676
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/20/2006
Last Update Date : 09/22/2025

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