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Mr. Charles Douglas Balcome, ACNP
Acute Care Nurse Practitioner in Phoenix, Arizona
NPI 1376027557

Charles Douglas Balcome is an Acute Care Nurse Practitioner based in Peoria, AZ and is specialized in Acute Care. Charles Douglas Balcome practices in Phoenix, AZ and has the professional credentials of ACNP. The NPI Number for Charles Douglas Balcome is 1376027557 and holds a License No. AP11604 (Arizona).

The current practice location address for Charles Douglas Balcome is 16601 N 40Th St Ste 204, Phoenix, AZ and can be reached out via phone at 602-633-3721 and via fax at 602-595-1127.

Location: 16601 N 40Th St Ste 204, Phoenix, AZ, 85383-2157
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Provider Profile Details
NPI Number
1376027557
Provider Name
Charles Douglas Balcome
Credential
ACNP
Provider Entity Type
Individual
Gender
Male
Address
16601 N 40Th St Ste 204, Phoenix, AZ, 85383-2157
Phone Number
602-633-3721
Fax Number
602-595-1127
Provider Enumeration Date
09/24/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
443489 05 AZ
institution
Provider Business Practice Location Address Details
Address
16601 N 40Th St Ste 204
City
State
Zip
85032-3356
Phone Number
602-633-3721
Fax Number
602-595-1127
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Provider Business Mailing Address Details
Address
16601 N 40Th St Ste 204
City
State
Zip
85032-3356
Phone Number
602-633-3721
Fax Number
602-595-1127
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Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
License No.
AP11604 (Arizona)
Definition
Definition to come...
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