MEDICARE: KAREN F ARCOTTA MD LTD

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	207RC0000X	Cardiovascular Disease Physician	15646	AZ

General Provider Information

NPI Number	:	1801924469
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KAREN F ARCOTTA MD LTD

Provider Business Mailing Address
First Line	:	1520 E HAMMER LN
Second Line	:	SUITE 105
City	:	FORT MOHAVE
State	:	AZ
Zip	:	86426-6664
Country	:	US
Telephone Number	:	928-788-9494
Fax Number	:	928-788-9495

Provider Business Practice Location Address
First Line	:	1520 E HAMMER LN
Second Line	:	SUITE 105
City	:	FORT MOHAVE
State	:	AZ
Zip	:	86426-6664
Country	:	US
Telephone Number	:	928-788-9494
Fax Number	:	928-788-9495

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. KAREN F ARCOTTA
Credential	:	M.D.
Telephone Number	:	928-788-9494

Provider Enumeration Date	:	03/02/2007
Last Update Date	:	08/22/2020

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