Individual
MARK CHRISTIAN CARNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
155 CALLE PORTAL, SUITE 600, SIERRA VISTA, AZ 85635-2900
(520) 439-5186
(520) 439-4466
Mailing address
155 CALLE PORTAL, SUITE 600, SIERRA VISTA, AZ 85635-2900
(520) 439-5186
(520) 439-4466
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
3174
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
362088004
—
AZ
Enumeration date
12/12/2006
Last updated
07/08/2007
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