Healthcare Provider Details
I. General information
NPI: 1326279050
Provider Name (Legal Business Name): CARMAN & CO., P.C.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/29/2009
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3269 STOCKTON HILL RD HYPERBARIC/WOUND CARE CENTER
KINGMAN AZ
86409-3619
US
IV. Provider business mailing address
1739 E BEVERLY AVE SUITE 201
KINGMAN AZ
86409-3593
US
V. Phone/Fax
- Phone: 928-681-8555
- Fax: 928-692-4155
- Phone: 928-692-3456
- Fax: 928-692-9027
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207PE0005X |
| Taxonomy | Undersea and Hyperbaric Medicine (Emergency Medicine) Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
CHAD
CARMAN
Title or Position: DIRECTOR
Credential: D.O.
Phone: 928-681-8555