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Dr. Charles Kenneth Requard, MD
Diagnostic Radiology Physician in Tucson, Arizona
NPI 1851315519

Charles Kenneth Requard is a Diagnostic Radiology Physician based in Tucson, AZ and is specialized in Diagnostic Radiology. Charles Kenneth Requard practices in Tucson, AZ and has the professional credentials of MD. The NPI Number for Charles Kenneth Requard is 1851315519 and holds a License No. 13725 (Arizona).

The current practice location address for Charles Kenneth Requard is 5515 E 5Th St, Tucson, AZ and can be reached out via phone at 520-298-1138 and via fax at 520-547-5959.

Location: 5515 E 5Th St, Tucson, AZ, 85715-4493
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Provider Profile Details
NPI Number
1851315519
Provider Name
Charles Kenneth Requard
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
5515 E 5Th St, Tucson, AZ, 85715-4493
Phone Number
520-298-1138
Fax Number
520-547-5959
Provider Enumeration Date
07/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8552002 05 AZ
institution
Provider Business Practice Location Address Details
Address
5515 E 5Th St
City
State
Zip
85711-2415
Phone Number
520-298-1138
Fax Number
520-547-5959
person
Provider Business Mailing Address Details
Address
5515 E 5Th St
City
State
Zip
85711-2415
Phone Number
520-298-1138
Fax Number
520-547-5959
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
13725 (Arizona)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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