(800) 868-1923

Most Relevant Information


Provider Data
NPI Number: 1003554197
Provider Name: JACOB CHARLES CARRELL
Entity Type: Individual
Taxonomy Code: 332B00000X
Specialty: Durable Medical Equipment & Medical Supplies
License Number:
Most Important Dates
Enumeration Date: 05/26/2022
Last Updated: 05/26/2022
Provider Practice Location
421 W MAIN ST
SAFFORD
AZ
855462724
Practice Location Phone/Fax
Phone: 9283229166
Fax:
Provider Mailing Location
3450 N REED LN
SAFFORD
AZ
855469585
Provider Mailing Phone/Fax
Phone: 9283225493
Fax: