Individual
JUAN C PALLARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
CORNER ROUTE N12 AND N7, FORT DEFIANCE, AZ 86504
(928) 729-8000
Mailing address
PO BOX 649, FORT DEFIANCE, AZ 86504-0649
(928) 729-8000
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
F8602
TX
2085R0202X
Diagnostic Radiology Physician
ME87312
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110390504
—
TX
05
—
110390505
—
TX
Enumeration date
11/11/2005
Last updated
11/16/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us