Individual
DR. MARY KATHLEEN CARRIKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3125 N 32ND ST, 100, PHOENIX, AZ 85018-6281
(602) 956-7414
(602) 957-3227
Mailing address
3125 N. 32ND STREET, 100, PHOENIX, AZ 85018-6281
(602) 956-7414
(602) 957-3227
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
5301
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
248098
—
AZ
Enumeration date
08/23/2006
Last updated
07/08/2007
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