Individual
KAREN E APODACA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
401 S CALVARY WAY, SUITE B, COTTONWOOD, AZ 86326-4165
(928) 634-6369
(928) 634-6389
Mailing address
401 S CALVARY WAY, SUITE B, COTTONWOOD, AZ 86326-4165
(928) 634-6369
(928) 634-6389
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
19568
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
298895
—
AZ
01
—
Z168884
HUMANITY HEALTH PROVIDERS GROUP PTAN
AZ
01
—
Z182914
INDIVIDUAL PTAN
AZ
Enumeration date
12/13/2005
Last updated
11/17/2016
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