Individual
DR. NOEL JOHN M. CARRASCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12308 N PASEO PENUELA, MARANA, AZ 85658-4704
(928) 301-4646
Mailing address
12090 N THORNYDALE RD STE110 PMB 323, MARANA, AZ 85658-4779
(928) 301-4646
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
33094
AZ
2080N0001X
Neonatal-Perinatal Medicine Physician
33094
AZ
208D00000X
General Practice Physician
33094
AZ
Other
Enumeration date
11/01/2013
Last updated
09/16/2024
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