ERNESTO CARLOS

FORT DEFIANCE, AZ
NPI1619044559
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: CA  A45611)
Enumeration Date2006-11-29
Last Update Date2019-06-05
Business Address
ERNESTO CARLOS MD
CORNER OF ROUTE N12 AND N7
FORT DEFIANCE, AZ 86504
Phone number: 928-729-8000
Mailing Address
ERNESTO CARLOS MD
PO BOX 649
FORT DEFIANCE, AZ 86504-0649
Phone number: 928-729-8000
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