Northern Arizona Dermatology Center, Pc

NPI 1003112327 - Dermatology - 207NS0135X

NPI Details
NPI 1003112327
Enumeration Date 02/03/2011
Last Updated 02/03/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name CARL FREDERICK CARL
Position PHYSICIAN/PARTNER
Phone (928) 774-5074
Fax (928) 779-0884
Practice Location
501 N NAVAJO
PAGE AZ, 86040, US
Phone (928) 774-5074
Fax (928) 779-0884
Business Location
PO BOX 53327
PHOENIX AZ, 85072-3327, US
Phone (928) 774-5074
Fax (928) 779-0884
Toxanomy
Taxonomy Code 207NS0135X
License State
License Number
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According to our database, Northern Arizona Dermatology Center, Pc NPI is 1003112327, taxonomy code is 207NS0135X Northern Arizona Dermatology Center, Pc physically located at 501 N Navajo, Page AZ, 86040. NPI Number 1033115704 has the healthcare provider type.

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1003112327 NPI number is provided on an as is basis without warranty of any kind. 1003112327 is maintained by the National Plan & Provider Enumeration System. The contents of Northern Arizona Dermatology Center, Pc are for informational purposes only.