Healthcare Provider Details

I. General information

NPI: 1538484464
Provider Name (Legal Business Name): CARLOS FRANCISCO SANCHEZ-NAVARRO JR. M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2010
Last Update Date: 01/02/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 WYOMING ST FL 7
DAYTON OH
45409-2722
US

IV. Provider business mailing address

57 MAGNOLIA LN APT 3306
BEAVERCREEK OH
45440-1481
US

V. Phone/Fax

Practice location:
  • Phone: 937-208-2485
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number390200000X
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: