Individual
EARL GERALD GARCIA CARLOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
NAVAJO SERVICE RTE 41, PINON, AZ 86510
(928) 725-9626
Mailing address
NAVAJO SERVICE RTE 41, PINON, AZ 86510
(928) 725-9626
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036.152147
IL
207Q00000X
Family Medicine Physician
Primary
5101022805
MI
Other
Enumeration date
05/11/2016
Last updated
05/05/2020
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