Individual
CARLOS ISAAC PACHECO CANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
155 CALLE PORTAL STE 300, SIERRA VISTA, AZ 85635-2900
(520) 459-3011
(520) 364-4261
Mailing address
1205 N F AVE, DOUGLAS, AZ 85607-1920
(520) 364-6852
(520) 364-4261
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
55327
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
469822
—
AZ
Enumeration date
04/10/2015
Last updated
10/29/2024
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