Provider Demographics
NPI:1427080712
Name:BOZARTH, CIARA J (DO)
Entity type:Individual
Prefix:DR
First Name:CIARA
Middle Name:J
Last Name:BOZARTH
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:2899 N 87TH ST STE 110
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85257-1767
Mailing Address - Country:US
Mailing Address - Phone:480-699-7004
Mailing Address - Fax:480-699-6129
Practice Address - Street 1:2899 N 87TH ST STE 110
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85257-1767
Practice Address - Country:US
Practice Address - Phone:480-699-7004
Practice Address - Fax:480-699-6129
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2010-02-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ4714207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine