Individual
EFREN RICARDO CANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2226 HUALAPAI MOUNTAIN RD, KINGMAN, AZ 86401-8374
(928) 681-8703
(928) 681-8714
Mailing address
1739 E BEVERLY AVE, STE. 200, KINGMAN, AZ 86409-3593
(928) 263-4547
(928) 263-4794
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
006054
AZ
Other
Enumeration date
03/17/2011
Last updated
07/17/2015
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