Individual
CARLOS A CARMONA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(602) 933-1000
Mailing address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(602) 933-1864
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
94-08685
KS
208000000X
Pediatrics Physician
0102206673
VA
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
0102206673
VA
Other
Enumeration date
06/04/2015
Last updated
06/25/2024
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