| Dr Charles Adams Blakely, MD | |
|
Fort Defiance Indian Hospital, Corner Route N7 And N12, Fort Defiance, AZ 86504 | |
| (928) 729-8600 | |
| Not Available |
| Full Name | Dr Charles Adams Blakely |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | Fort Defiance Indian Hospital, Fort Defiance, Arizona |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427119502 | NPI | - | NPPES |
| 000R4843 | Other | NM | NM MED |
| 638679 | Other | AZ | AHCCCS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 22395 (Colorado) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Charles Adams Blakely, MD 3437 Calle Suenos Se, Rio Rancho, NM 87124-6712 Ph: (505) 896-4093 | Dr Charles Adams Blakely, MD Fort Defiance Indian Hospital, Corner Route N7 And N12, Fort Defiance, AZ 86504 Ph: (928) 729-8600 |
Dr. Romulo Laureta Parungao, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8600 | |
Dr. Tyrone Harold Walker, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: Corner Of Rte N 12 And N 7, Fort Defiance, AZ 86504 Phone: 928-729-8600 | |
Dr. Brian Ezar Cooper, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: Corner Of Rt N7 And N12, Fort Defiance, AZ 86504 Phone: 928-729-8600 Fax: 928-729-8624 | |
Samuel Bryan Wood, Emergency Medicine Medicare: Medicare Enrolled Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8600 | |
Nicholas Frank Zampariello, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8000 | |
Elyssa Berg, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8600 | |
Dr. Scott A Kelso, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8000 |