Individual
DR. CARLOS J CARRERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
650 E INDIAN SCHOOL RD, PHOENIX, AZ 85012-1839
(602) 277-5551
(602) 200-6026
Mailing address
650 E INDIAN SCHOOL RD, PHOENIX, AZ 85012-1839
(602) 277-5551
(602) 200-6026
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
55594
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3032311
—
MA
Enumeration date
06/27/2005
Last updated
05/09/2013
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