Provider Demographics
NPI:1346672557
Name:CARR, JOHN M (DVM)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:M
Last Name:CARR
Suffix:
Gender:M
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11864 W HADLEY ST
Mailing Address - Street 2:
Mailing Address - City:AVONDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85323-9104
Mailing Address - Country:US
Mailing Address - Phone:623-332-0069
Mailing Address - Fax:
Practice Address - Street 1:895 S VAL VISTA DR
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85296-3856
Practice Address - Country:US
Practice Address - Phone:480-497-9700
Practice Address - Fax:480-926-0908
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-30
Last Update Date:2013-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ1917174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian