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Jeffery Carleton Northup, DO
Specialist in Show Low, Arizona
NPI 1760595342

Jeffery Carleton Northup is a Specialist based in Show Low, AZ. Jeffery Carleton Northup practices in Show Low, AZ and has the professional credentials of DO. The NPI Number for Jeffery Carleton Northup is 1760595342 and holds a License No. 1447 (Arizona).

The current practice location address for Jeffery Carleton Northup is 5171 Cub Lake Road, Show Low, AZ and can be reached out via phone at 800-344-8299 and via fax at 928-537-4437.

Location: 5171 Cub Lake Road, Show Low, AZ, 85901
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760595342
Provider Name
Jeffery Carleton Northup
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
5171 Cub Lake Road, Show Low, AZ, 85901
Phone Number
800-344-8299
Fax Number
928-537-4437
Provider Enumeration Date
08/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
227654-02 05 AZ
institution
Provider Business Practice Location Address Details
Address
5171 Cub Lake Road
City
Show Low
State
Arizona
Zip
85901
Phone Number
800-344-8299
Fax Number
928-537-4437
person
Provider Business Mailing Address Details
Address
5171 Cub Lake Road
City
Show Low
State
Arizona
Zip
85901
Phone Number
800-344-8299
Fax Number
928-537-4437
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
1447 (Arizona)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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