Individual
JOHN C AVERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1840 E BROADWAY RD, TEMPE, AZ 85282-1614
(602) 243-7277
(480) 927-1092
Mailing address
3003 N CENTRAL AVE STE 1600, PHOENIX, AZ 85012-2908
(602) 323-3344
(602) 323-3496
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
12048
NH
207Q00000X
Family Medicine Physician
Primary
4409
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00059455
VT BLUE CROSS BLUE SHIELD
VT
01
—
04YP04767NH02
NH BLUE CROSS BLUE SHIELD
NH
05
—
1009800
—
VT
05
—
3076472
—
NH
01
—
8000595
LADIES FIRST
VT
01
—
8920269
CIGNA
NH
01
—
AA3099
HARVARD PILGRIM
—
01
—
RE7231
NHIC
NE
Enumeration date
05/06/2006
Last updated
10/01/2020
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