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Individual

DR. CARL STANLEY KANUN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
310 N WILMOT RD, SUITE 305, TUCSON, AZ 85711-2618
(520) 885-0823
(520) 885-6337
Mailing address
310 N WILMOT RD, SUITE 305, TUCSON, AZ 85711-2618
(520) 885-0823
(520) 885-6337

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
8892
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1Z2046
HEALTH NET
AZ
05
222836
AZ
01
86041556007
PACIFICARE
AZ
01
AZ0812280
BCBS
AZ
Enumeration date
07/12/2005
Last updated
10/17/2007
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