MEDICARE: CHRISTINE ANN CARY PA

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	363A00000X	Physician Assistant	1903	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1538155874
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINE ANN CARY PA

Provider Business Mailing Address
First Line	:	600 S DOBSON RD
Second Line	:
City	:	CHANDLER
State	:	AZ
Zip	:	85224-5678
Country	:	US
Telephone Number	:	480-814-1054
Fax Number	:	480-814-1799

Provider Business Practice Location Address
First Line	:	2550 N THUNDERBIRD CIR STE 303
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85215-1219
Country	:	US
Telephone Number	:	480-289-7890
Fax Number	:	480-924-8399

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

Provider Enumeration Date	:	09/22/2005
Last Update Date	:	10/18/2011

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Directions to “ CHRISTINE ANN CARY PA” Practice Location

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