Individual
DR. DANIELLE MICHELLE CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
677 N WILMOT RD, TUCSON, AZ 85711-2701
(520) 795-2889
(520) 795-6321
Mailing address
677 N WILMOT RD, TUCSON, AZ 85711-2701
(520) 795-2889
(520) 795-6321
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
41403
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
716047
—
AZ
01
—
ZWCBBM
GROUP MEDICARE ID
AZ
Enumeration date
03/27/2008
Last updated
07/21/2022
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