Provider Demographics
NPI:1891785663
Name:CARRIZALES, ARTHUR (MD)
Entity Type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:
Last Name:CARRIZALES
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1381 SOUTH PATRICK DRIVE
Mailing Address - Street 2:45TH MEDICAL GROUP PATRICK HEALTH CARE CLINIC
Mailing Address - City:PATRICK AIR FORCE BASE
Mailing Address - State:FL
Mailing Address - Zip Code:32925
Mailing Address - Country:US
Mailing Address - Phone:321-495-7174
Mailing Address - Fax:210-295-4895
Practice Address - Street 1:1381 SOUTH PATRICK DRIVE
Practice Address - Street 2:PATRICK HEALTH CARE CLINIC
Practice Address - City:PATRICK AFB
Practice Address - State:FL
Practice Address - Zip Code:32925
Practice Address - Country:US
Practice Address - Phone:210-916-3000
Practice Address - Fax:210-295-4895
Is Sole Proprietor?:No
Enumeration Date:2005-10-24
Last Update Date:2011-09-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXF3066207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine