Individual
CARLIE FOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1688 E BOSTON ST, 101, GILBERT, AZ 85295-6220
(480) 855-0085
(480) 855-0086
Mailing address
1688 E BOSTON ST, SUITE #101, GILBERT, AZ 85295-6220
(480) 855-0085
(480) 855-0086
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5248
AZ
Other
Enumeration date
10/05/2012
Last updated
07/21/2022
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