Whalio Doctors

NPI 1760595342

Jeffery Carleton Northup, DO

Practitioner Specialist Show Low, AZ

Practice location

Address
5171 Cub Lake Road Bldg B Suite 210, Show Low, AZ 85901
Phone
(800) 344-8299
Fax
(928) 537-4437

Registered specialties

Specialist Primary
Other Service Providers Taxonomy 174400000X Licence 1447 (AZ)

Registry record

NPI
1760595342
Entity type
Individual
Sex (as registered)
Male
NPI issued
16 Aug 2006
Record last updated
8 Jul 2007

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.