Individual
DR. CARL SKOUSON FREESTONE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
34 CASA LINDA DRIVE, STE D, TAYLOR, AZ 85939
(928) 536-4133
(928) 536-4133
Mailing address
PO BOX 36, TAYLOR, AZ 85939-0036
(928) 536-4133
(928) 536-4133
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5061
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AZ09300070
BCBSAZ PIN #
AZ
Enumeration date
07/07/2005
Last updated
07/08/2007
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