Provider Demographics
NPI:1881962116
Name:ARIZONA HEALTH CARE PHYSICIANS PLLC
Entity type:Organization
Organization Name:ARIZONA HEALTH CARE PHYSICIANS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER, AHCP PLLC
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:STEVEN
Authorized Official - Last Name:CHAROCHAK
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:602-377-7245
Mailing Address - Street 1:16845 N. 29TH AVE,
Mailing Address - Street 2:SUITE #234
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85053
Mailing Address - Country:US
Mailing Address - Phone:602-863-3691
Mailing Address - Fax:602-375-0435
Practice Address - Street 1:9150 W. INDIAN SCHOOL ROAD,
Practice Address - Street 2:SUITE 117
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85037-2384
Practice Address - Country:US
Practice Address - Phone:623-872-9949
Practice Address - Fax:623-931-3363
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-01
Last Update Date:2011-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ2333208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty