Organization
CHARLES DRIES MD PLLC
Active
Organization
CHARLES DRIES MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES P DRIES MD (PRESIDENT)
(602) 616-0647
Entity
Organization
Contact information
Practice address
2000 W BETHANY HOME RD, PHOENIX, AZ 85015-2443
(602) 249-0212
Mailing address
10241 N 56TH ST, PARADISE VALLEY, AZ 85253-1130
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
153718
—
AZ
Enumeration date
04/17/2018
Last updated
04/17/2018
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