Individual
MR. CHARLES JON BAUGHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
A.T.,C.
Contact information
Practice address
2510 W RIO SALADO PKWY, MESA, AZ 85201-3603
(623) 293-1604
(480) 668-4545
Mailing address
24050 N 166TH LN, SURPRISE, AZ 85387-1464
(623) 293-1604
(480) 668-4545
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
096-002084
IL
2255A2300X
Athletic Trainer
116
SD
2255A2300X
Athletic Trainer
179
IA
2255A2300X
Athletic Trainer
Primary
20
AZ
2255A2300X
Athletic Trainer
918
TN
2255A2300X
Athletic Trainer
AT-186
ID
Other
Enumeration date
02/09/2006
Last updated
01/19/2021
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