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Individual

DR. JEAN MARIE CARNES

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2000 W BETHANY HOME RD, PHOENIX BAPTIST HOSPITAL, PHOENIX, AZ 85015
(602) 249-0212
Mailing address
2251 N 32ND ST, LOT #31, MESA, AZ 85213-2446
(480) 641-7453
(480) 641-7453

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
06514
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
292912
AZ
01
3981220
EVERCARE - GROUP #
AZ
01
AW1436
HEALTHNET - GROUP #
AZ
01
AZ0728670
BCBS - GROUP #
AZ
Enumeration date
01/09/2006
Last updated
07/08/2007
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