CHARLES KENNETH REQUARD

TUCSON, AZ
NPI1851315519
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: AZ  13725)
Enumeration Date2006-07-27
Last Update Date2013-12-30
Business Address
Dr. CHARLES KENNETH REQUARD M.D.
5515 E 5TH ST C/O ARIZONA COMMUNITY PHYSICIANS
TUCSON, AZ 85711-2415
Phone number: 520-298-1138
Mailing Address
Dr. CHARLES KENNETH REQUARD M.D.
1961 N CORTE EL RANCHO MERLITA
TUCSON, AZ 85715-4493
Phone number: 520-780-1281
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