Individual
DR. CHARLES BRIXNER BOAG III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4545 E CHANDLER BLVD STE 208, PHOENIX, AZ 85048-7645
(480) 961-2330
(480) 961-2332
Mailing address
1950 W FRYE RD, CHANDLER, AZ 85224-6255
(480) 895-9555
(480) 895-9494
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4781
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
344868
—
AZ
Enumeration date
03/14/2008
Last updated
07/21/2022
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