Individual
DR. DOUGLAS JOHN CARLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1895 N JASPER DR STE 1, FLAGSTAFF, AZ 86001-1632
(928) 773-2332
(623) 524-8959
Mailing address
2320 N 3RD ST, PHOENIX, AZ 85004-1303
(602) 649-2007
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
29314
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
694704
—
AZ
Enumeration date
03/23/2006
Last updated
12/18/2023
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