Individual
MARK PORTER CALDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T
Contact information
Practice address
1788 PRAIRIE RD, SNOWFLAKE, AZ 85937
(480) 272-5674
Mailing address
1788 PRAIRIE RD, SNOWFLAKE, AZ 85937-6254
(480) 272-5674
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10933
AZ
Other
Enumeration date
06/03/2014
Last updated
06/03/2014
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