Individual
MISS DONNA RAE CARMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4212 NORTH 16TH STREET, PHOENIX, AZ 85016
(602) 263-1511
(602) 263-1637
Mailing address
P B BOX 31001-0698, PASADENA, CA 91110-0698
(602) 263-1511
(602) 263-1637
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
21596
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
407199
—
AZ
01
—
AZ0721610
BCBS
AR
Enumeration date
10/02/2006
Last updated
07/08/2007
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