Provider Demographics
NPI:1548345952
Name:CLIMACO, CESAR F (MD)
Entity type:Individual
Prefix:DR
First Name:CESAR
Middle Name:F
Last Name:CLIMACO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2345 E THOMAS RD
Mailing Address - Street 2:SUITE # 420
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85016-7848
Mailing Address - Country:US
Mailing Address - Phone:602-955-5700
Mailing Address - Fax:602-955-5701
Practice Address - Street 1:2345 E THOMAS RD
Practice Address - Street 2:SUITE # 420
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85016-7848
Practice Address - Country:US
Practice Address - Phone:602-955-5700
Practice Address - Fax:602-955-5701
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2011-03-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ15815207QA0505X, 207QG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine
No207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ276312Medicaid
AZ276312Medicaid