Individual provider · Type 1 NPI

Charles Kenneth Requard, MD

Diagnostic Radiology Physician · Tucson, AZ

NPI number 1851315519 Active

About NPI 1851315519

Charles Kenneth Requard, MD's National Provider Identifier is 1851315519, issued on Jul 27, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Tucson, AZ. The record was last updated on Dec 30, 2013.