Individual
DR. MICHAEL CHARLES CAROZZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2915 CYPRESS RD, SUITE A, ARKADELPHIA, AR 71923-4228
(870) 403-0299
Mailing address
2915 CYPRESS RD, SUITE A, ARKADELPHIA, AR 71923-4228
(870) 403-0299
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
E4141
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
179159001
—
AR
01
—
771102401
BREASTCARE
AR
Enumeration date
04/26/2006
Last updated
07/16/2012
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