Individual
NANCY CHUROSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
13677 W MCDOWELL RD, GOODYEAR, AZ 85395-2635
(623) 882-1500
Mailing address
PO BOX 2699, ATTN: SHMG/HPE, PENSACOLA, FL 32513-2699
(850) 416-7000
(850) 475-4781
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
53157
AZ
207P00000X
Emergency Medicine Physician
ME110895
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0039975-00
—
FL
01
—
14FE6
BCBS
FL
Enumeration date
01/06/2006
Last updated
04/04/2022
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