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Individual

DR. JULIUS RAY CHARLIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6944 E BROADWAY RD, MESA, AZ 85208-1916
(480) 800-4890
(480) 427-4766
Mailing address
2201 W FAIRVIEW ST, STE 1, CHANDLER, AZ 85224-4712
(480) 800-4980
(480) 427-4766

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
40519
AZ
2084N0400X
Neurology Physician
MD2006-0839
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
865090
AZ
Enumeration date
04/27/2006
Last updated
11/06/2019
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