Doctor Name: | DR. MICHAEL CHARLES CAROZZA |
NPI Number: | 1093772055 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | E4141 |
Business Practice Address: | 2915 Cypress Rd Suite A Arkadelphia, AR - 719234228 |
Business Phone Number: | 8704030299 |
Business Fax Number: | |
Mailing Address: | 2915 Cypress Rd, Suite A ARKADELPHIA |
State: | AR |
Postal Code: | 719234228 |
Phone Number: | 8704030299 |
Fax Number: | |
NPI Enumeration Date: | 04/26/2006 |
NPI Last Update Date: | 07/16/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207VG0400X |
License Number: | E4141 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | Gynecology |
Taxonomy Definition: |