MEDICARE: CHARLES L MCCARVER MD PC

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

General Provider Information

NPI Number	:	1902842982
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHARLES L MCCARVER MD PC

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	:	480-905-3431
Fax Number	:	480-905-3432

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	:	480-905-3431
Fax Number	:	480-905-3432

Authorized Official
Title or Position	:	PRESIDENT
Name	:	CHARLES L MCCARVER
Credential	:	MD
Telephone Number	:	480-905-3431

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

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