Provider Demographics
NPI:1972547867
Name:FRENCH, JOHN C (MD PHD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:C
Last Name:FRENCH
Suffix:
Gender:M
Credentials:MD PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1874
Mailing Address - Street 2:
Mailing Address - City:COTTONWOOD
Mailing Address - State:AZ
Mailing Address - Zip Code:86326-1874
Mailing Address - Country:US
Mailing Address - Phone:928-634-4160
Mailing Address - Fax:928-639-1763
Practice Address - Street 1:2911 S 8TH AVE
Practice Address - Street 2:L&D
Practice Address - City:YUMA
Practice Address - State:AZ
Practice Address - Zip Code:85364-8000
Practice Address - Country:US
Practice Address - Phone:928-783-3050
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-15
Last Update Date:2014-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ14606207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZAZ0079440OtherBCBS
AZZ0000BGMCLMedicare PIN