Individual
JOHN STEVEN CHAROCHAK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
3033 W BELL RD, PHOENIX, AZ 85053-3000
(602) 375-3333
(602) 375-0475
Mailing address
3033 W. BELL RD SUITE 101A, PHOENIX, AZ 85053-3000
(602) 375-3333
(602) 375-0475
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
2333
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AZ0220300
BLUE CROSS
AZ
Enumeration date
12/05/2005
Last updated
07/08/2007
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