Individual
CHARLES CONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
6104 E BROWN RD, MESA, AZ 85205-4953
(480) 699-7377
Mailing address
6104 E BROWN RD, SUITE 102, MESA, AZ 85205-4953
(480) 699-7377
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
322
AZ
Other
Enumeration date
09/21/2005
Last updated
11/15/2016
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