Individual
DR. ANDREW JOHN PHAM CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
333 N DOBSON RD, SUITE 15, CHANDLER, AZ 85224
(480) 282-8336
(480) 282-8365
Mailing address
333 N DOBSON RD, SUITE 15, CHANDLER, AZ 85224-4412
(480) 282-8336
(480) 282-8365
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
27603
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2Z5356
HEALTHNET
AZ
01
—
7053073
AETNA
AZ
01
—
AZ0851511
BCBSAZ
AZ
Enumeration date
06/09/2005
Last updated
09/24/2020
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