MEDICARE: DR. JAMES CARLAND MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	05789	AZ

General Provider Information

NPI Number	:	1326251505
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES CARLAND MD

Provider Business Mailing Address
First Line	:	2602 E THOMAS RD
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85016-8202
Country	:	US
Telephone Number	:	602-956-5276
Fax Number	:	602-808-8322

Provider Business Practice Location Address
First Line	:	2602 E THOMAS RD
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85016-8202
Country	:	US
Telephone Number	:	602-956-5276
Fax Number	:	602-808-8322

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/07/2007
Last Update Date	:	07/08/2007

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