CHARLES DOUGLAS BALCOME

PHOENIX, AZ
NPI1376027557
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: AZ  AP11604)
Enumeration Date2018-09-24
Last Update Date2021-10-20
Business Address
Mr. CHARLES DOUGLAS BALCOME ACNP
16601 N 40TH ST STE 204
PHOENIX, AZ 85032-3356
Phone number: 602-633-3721
Mailing Address
Mr. CHARLES DOUGLAS BALCOME ACNP
22331 N 79TH DR
PEORIA, AZ 85383-2157
Phone number: 602-335-9374
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