Connor Marcel Champion, M.D.
Psychiatry & Neurology, Psychiatry in Phoenix, AZ. Individual provider (NPI-1).
NPI number1871028126
StatusActive
Last updated in NPPESJul 22, 2026
Details
- NPI
- 1871028126
- Entity type
- Individual (NPI-1)
- Name
- Mr. Connor Marcel Champion
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 25, 2017
- Certification date
- Jul 22, 2026
- Last updated
- Jul 22, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | 204807 | CA | Yes |
| 2084P0800X | Psychiatry & Neurology, Psychiatry | 344496-01 | NY | |
| 2084P0800X | Psychiatry & Neurology, Psychiatry | 62326 | AZ | |
| 2084P0800X | Psychiatry & Neurology, Psychiatry | V9465 | TX |
Practice location
4539 N 22nd St # 4623Phoenix, AZ 85016-4639
Phone 999-999-9999
Mailing address
4539 N 22nd St # 4623Phoenix, AZ 85016-4639
Fax 602-887-1184
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