Individual
DR. CARL G BYNUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1701 E JEANINE DR, TEMPE, AZ 85284-3369
(573) 230-1313
Mailing address
1701 E JEANINE DR, TEMPE, AZ 85284-3369
(573) 230-1313
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
006156
AZ
207Q00000X
Family Medicine Physician
R9129
MO
Other
Enumeration date
04/24/2010
Last updated
12/02/2013
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