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Contact Information

EARL GERALD G CARLOS, DO
NAVAJO SERVICE RTE 41
PINON, AZ86510
 Phone: 928-725-9626
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for EARL GERALD G CARLOS · (Male)

NPI Number 1336595040
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 05/11/2016
Last updated 05/05/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 036.152147
  • MI License # 5101022805
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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