Individual
CARRIE LYNN SCHALLOCK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2501 E SOUTHERN AVE, STE 14, TEMPE, AZ 85282
(480) 730-3331
(480) 730-6340
Mailing address
2501 E SOUTHERN AVE, STE 14, TEMPE, AZ 85282
(480) 730-3331
(480) 730-6340
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
15984
AZ
207V00000X
Obstetrics & Gynecology Physician
33837
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
153833
—
AZ
Enumeration date
02/23/2006
Last updated
07/08/2007
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