Individual
MR. CARL CANDLER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3729 W LANE AVE, PHOENIX, AZ 85051-6447
(602) 874-1899
Mailing address
12802 S 37TH PL, PHOENIX, AZ 85044-3876
(602) 510-9422
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
AZ
Other
Enumeration date
10/24/2023
Last updated
10/24/2023
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