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: |