MR. Charles Jay Bawcom, APRN-RNP is a family nurse practitioner in Grand Canyon, AZ with 4 years of experience. MR. Charles Jay Bawcom, APRN-RNP NPI is 1801419841. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1 CLINIC RD # 369
GRAND CANYON, AZ
ZIP 86023-290
Phone: (928) 638-2551
Fax: (928) 638-2598
The NPI 1801419841 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 5/26/2020 and was last updated on 5/26/2020.