DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DR. CHARLES KENNETH REQUARD M.D.

MEDICARE: DR. CHARLES KENNETH REQUARD 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
12085R0202XDiagnostic Radiology Physician13725AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1851315519
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHARLES KENNETH REQUARD M.D.
Provider Business Mailing Address
First Line : 1961 N CORTE EL RANCHO MERLITA
Second Line :
City : TUCSON
State : AZ
Zip : 85715-4493
Country : US
Telephone Number : 520-780-1281
Fax Number : 520-547-5959
Provider Business Practice Location Address
First Line : 5515 E 5TH ST
Second Line : C/O ARIZONA COMMUNITY PHYSICIANS
City : TUCSON
State : AZ
Zip : 85711-2415
Country : US
Telephone Number : 520-298-1138
Fax Number : 520-547-5959
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2006
Last Update Date : 12/30/2013

Similar Medicare Providers

1306565262 — MRS. ANDREA ROTH CRAIG DNP, FNP-BC
Practice Location Address:
5555 E 5TH ST STE 101
TUCSON, AZ
85711-2415
Practice Phone: 520-886-4181
Practice Fax: 520-721-7536
1780686949 — DR. BRIAN SHANNON DONOVAN M.D.
Practice Location Address:
5555 E 5TH ST STE 101
TUCSON, AZ
85711-2415
Practice Phone: 520-886-4181
Practice Fax: 520-721-7536
1306804075 — MS. LORELEI J NEIBURGER NP
Practice Location Address:
5555 E 5TH ST
TUCSON, AZ
85711-2415
Practice Phone: 520-721-7886
Practice Fax: 520-290-0596
1932157161 — DR. CHARLES B GIFFIN MD
Practice Location Address:
5555 E 5TH ST STE 101
TUCSON, AZ
85711-2415
Practice Phone: 520-886-4181
Practice Fax: 520-721-7536
1821037474 — DR. ALAN K ROGERS MD
Practice Location Address:
5555 E 5TH ST STE 101
TUCSON, AZ
85711-2415
Practice Phone: 520-886-4181
Practice Fax: 520-721-7536
1174787790 — DR. LESLIE ANNE WILLINGHAM M.D.
Practice Location Address:
5555 E 5TH ST STE 101
TUCSON, AZ
85711-2415
Practice Phone: 520-886-4181
Practice Fax: 520-721-7536

Directions to “ DR. CHARLES KENNETH REQUARD M.D.” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.