Individual
DR. CHARLES C OTUONYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5555 W. THUNDERBIRD, BANNER THUNDERBIRD MEDICAL CENTER, GLENDALE, AZ 85306
(602) 865-2627
(602) 865-2632
Mailing address
5555 W. THUNDERBIRD, BANNER THUNDERBIRD MEDICAL CENTER, GLENDALE, AZ 85306
(602) 865-2627
(602) 865-2632
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
34756
AZ
208M00000X
Hospitalist Physician
Primary
34756
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124359
—
AZ
Enumeration date
08/12/2006
Last updated
01/04/2017
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