Individual
MR. CHARLES F MCCUNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
21940 N 79TH AVE, PEORIA, AZ 85383-2146
(623) 487-1812
(623) 487-1883
Mailing address
21940 N 79TH AVE, PEORIA, AZ 85383-2146
(623) 487-1812
(623) 487-1883
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
634825
AZ
Other
Enumeration date
12/12/2006
Last updated
07/08/2007
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