Individual
DR. CHARLES ROY CLINCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3033 W BELL RD, STE 100, PHOENIX, AZ 85053-3000
(602) 588-0316
(602) 588-0463
Mailing address
3033 W BELL RD, STE 100, PHOENIX, AZ 85053-3000
(602) 588-0316
(602) 588-0463
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
1901
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
263426
—
AZ
Enumeration date
05/27/2006
Last updated
10/14/2011
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