Provider Demographics
NPI:1942485776
Name:JOHN C. FRENCH, M.D., P.C.
Entity Type:Organization
Organization Name:JOHN C. FRENCH, M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:C
Authorized Official - Last Name:FRENCH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:928-649-7899
Mailing Address - Street 1:294 W HIGHWAY 89A # 209
Mailing Address - Street 2:P O BOX 1851
Mailing Address - City:COTTONWOOD
Mailing Address - State:AZ
Mailing Address - Zip Code:86326-3754
Mailing Address - Country:US
Mailing Address - Phone:928-649-7899
Mailing Address - Fax:928-649-7898
Practice Address - Street 1:294 W HWY 89A
Practice Address - Street 2:SUITE 209
Practice Address - City:COTTONWOOD
Practice Address - State:AZ
Practice Address - Zip Code:86326-3754
Practice Address - Country:US
Practice Address - Phone:928-649-7899
Practice Address - Fax:928-649-7898
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-28
Last Update Date:2008-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ14606305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZAZ0079440OtherBCBS
AZ1972547867OtherTYPE 1 N.P.I.
AZAZ0079440OtherBCBS
AZ1972547867OtherTYPE 1 N.P.I.