# CARNETT CLINIC, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790961167
- **Authorized official:** DR. MARK CHRISTIAN CARNETT D.O. (PHYSICIAN)
- **Authorized official phone:** (520) 439-5186

## Contact information

- **Practice address:** 4990 E MEDITERRANEAN DR STE A, SIERRA VISTA, AZ 85635-2495
- **Practice address phone:** (520) 439-5186
- **Practice address fax:** (520) 439-4466
- **Mailing address:** 4990 E MEDITERRANEAN DR STE A, SIERRA VISTA, AZ 85635-2495
- **Mailing address phone:** (520) 439-5186
- **Mailing address fax:** (520) 439-4466

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | 3174 | AZ | Yes |

## Other

- **Enumeration date:** 01/16/2008
- **Last updated:** 01/09/2024