| Red Canyon Infectious Disease | |
|
2174 W Oak Ave Douglas AZ 85607-6003 | |
| (520) 366-0335 | |
| (520) 366-0388 |
| Full Name | Red Canyon Infectious Disease |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | 2174 W Oak Ave, Douglas, Arizona |
| Authorized Official Name and Position | Christopher Earl Spooner (PRESIDENT) |
| Authorized Official Contact | 5203660335 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Red Canyon Infectious Disease Po Box 121 Bisbee AZ 85603-0121 Ph: (520) 366-0335 | Red Canyon Infectious Disease 2174 W Oak Ave Douglas AZ 85607-6003 Ph: (520) 366-0335 |
| NPI Number | 1104934660 |
|---|---|
| Provider Enumeration Date | 08/26/2006 |
| Last Update Date | 11/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104934660 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | 19439 (Arizona) | Primary |
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