Individual
DR. CHARLES REDMOND BREED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2055 E SOUTHERN AVE, SUITE F, TEMPE, AZ 85282-7507
(480) 897-8484
(480) 897-8631
Mailing address
2055 E SOUTHERN AVE, SUITE F, TEMPE, AZ 85282-7507
(480) 897-8484
(480) 897-8631
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
10034
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00004310
BANNER HEALTH PLANS
AZ
01
—
1Z1867
HEALTHNET
AZ
05
—
207713
—
AZ
01
—
628739
VA BCBS
AZ
Enumeration date
09/28/2005
Last updated
09/27/2007
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