Organization
DOCTOR AFTER DARK, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAMON EDWARD CARRASCO J.D. (ADNISTRATOR)
(480) 206-3602
Entity
Organization
Contact information
Practice address
1311 E THOMAS RD, PHOENIX, AZ 85014-5707
(602) 253-3565
(602) 312-1316
Mailing address
1311 E THOMAS RD, PHOENIX, AZ 85014-5707
(602) 253-3565
(602) 312-1316
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
24255
AZ
Other
Enumeration date
07/18/2008
Last updated
07/18/2008
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