Individual
MARK F CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1215 N BEAVER ST, SUITE 201, FLAGSTAFF, AZ 86001-3126
(928) 214-3920
(928) 214-3924
Mailing address
1215 N BEAVER ST, SUITE 201, FLAGSTAFF, AZ 86001-3126
(928) 214-3920
(928) 214-3924
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
24786
AZ
Other
Enumeration date
04/17/2008
Last updated
04/17/2008
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