Individual provider · Type 1 NPI

Charles Bellanger, PA

Physician Assistant · Phoenix, AZ

NPI number 1407880669 Active

Practice location

1300 N 12th St Ste 301
Phoenix, AZ 85006-2813

Fax (602) 239-4144

Mailing address

6032 W Willow Ave
Glendale, AZ 85304-1101

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X1065 (AZ)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1407880669

Charles Bellanger, PA's National Provider Identifier is 1407880669, issued on Jul 11, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Phoenix, AZ. The record was last updated on Feb 15, 2008.