Individual
CHARLES H PSHAENICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1400 S DOBSON RD, MESA, AZ 85202-4707
(480) 456-9500
(480) 820-7623
Mailing address
PO BOX 7127, PHOENIX, AZ 85011-7127
(480) 456-9500
(480) 820-7623
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25570
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
401349
—
AZ
Enumeration date
12/13/2005
Last updated
07/10/2012
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