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Contact Information

JUAN C PALLARES, MD
CORNER ROUTE N12 AND N7
FORT DEFIANCE, AZ86504
 Phone: 928-729-8000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for JUAN C PALLARES · (Male)

NPI Number 1578544987
Status Active
Credentials MD
Entity Individual
Enumeration date 11/11/2005
Last updated 11/16/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ME87312
  • TX License # F8602
  • TX Medicaid 110390504
  • TX Medicaid 110390505
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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