Provider Demographics
NPI:1104025915
Name:CHARLES K STERMETZ PC
Entity Type:Organization
Organization Name:CHARLES K STERMETZ PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTIC PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:K
Authorized Official - Last Name:STERMETZ
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:480-820-6695
Mailing Address - Street 1:2133 E WARNER RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85284-3492
Mailing Address - Country:US
Mailing Address - Phone:480-820-6695
Mailing Address - Fax:480-820-6696
Practice Address - Street 1:2133 E WARNER RD
Practice Address - Street 2:SUITE 102
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85284-3492
Practice Address - Country:US
Practice Address - Phone:480-820-6695
Practice Address - Fax:480-820-6696
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-12
Last Update Date:2007-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ4738261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service