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Individual

BRIAN BELLS CARINO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
CORNER OF ROUTE N12 AND N7, FORT DEFIANCE, AZ 86504
(928) 729-8000
Mailing address
PO BOX 589, FORT DEFIANCE, AZ 86504
(928) 729-8000

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
6720
AK
207X00000X
Orthopaedic Surgery Physician
MDR-4147
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
MD1095
AK
Enumeration date
06/26/2007
Last updated
11/10/2016
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