Whalio Doctors

NPI 1154595411

Mark F Carroll, MD

Practitioner Pediatrics Physician Flagstaff, AZ

Practice location

Address
1215 N Beaver St Suite 201, Flagstaff, AZ 86001-3126
Phone
(928) 214-3920
Fax
(928) 214-3924

Registered specialties

Pediatrics Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 24786 (AZ)

Registry record

NPI
1154595411
Entity type
Individual
Sex (as registered)
Male
NPI issued
17 Apr 2008
Record last updated
17 Apr 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.