Individual
DR. CHARLES DAVID DEAKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2510 W DUNLAP AVE, STE 290, PHOENIX, AZ 85021-2737
(602) 789-0344
(602) 789-8389
Mailing address
2510 W DUNLAP AVE, STE 290, PHOENIX, AZ 85021-2737
(602) 789-0344
(602) 789-8389
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
40534
AZ
208M00000X
Hospitalist Physician
40534
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
366017
—
AZ
Enumeration date
01/21/2008
Last updated
09/08/2016
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