Individual
EUGENE M.R. CHARLEBOIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3700 W STATE ROUTE 89A, SEDONA, AZ 86336-4937
(928) 204-4100
(928) 639-6682
Mailing address
1200 N BEAVER ST, FLAGSTAFF, AZ 86001-3118
(928) 213-6235
(928) 213-6292
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
007862
AZ
207Q00000X
Family Medicine Physician
1674
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33604099
—
ME
05
—
546268
—
AZ
Enumeration date
06/08/2005
Last updated
03/24/2023
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