Individual
CHARLES ROUNDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
6151-6153 W OLIVE AVE, GLENDALE, AZ 85302-4598
(602) 685-6000
(602) 389-3599
Mailing address
15050 N 6TH ST, PHOENIX, AZ 85022-3615
(623) 202-1199
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
3683
AZ
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
3683
AZ
2084P0800X
Psychiatry Physician
Primary
3683
AZ
363AM0700X
Medical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
313238
—
AZ
Enumeration date
07/31/2007
Last updated
09/13/2019
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