Individual
LOUIS JOHN CAROTHERS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
18701 N 67TH AVE, GLENDALE, AZ 85308-7100
(623) 561-1000
Mailing address
2989 N 44TH ST UNIT 3013, PHOENIX, AZ 85018-7310
(856) 885-1928
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
269411
AZ
Other
Enumeration date
04/22/2022
Last updated
07/08/2022
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