Charles Bellanger, PA

NPI #1407880669 in Phoenix, Arizona

Provider Information

NPI Number: 1407880669
Entity Type: Individual
Name: Charles Bellanger, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Jul 11, 2006
Last Updated: Feb 15, 2008

Practice Location

Address: 1300 N 12TH ST STE 301
City: Phoenix
State: Arizona
ZIP Code: 85006-2813
Phone: (602) 239-6968

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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