Jeffery Carleton Northup, DO

NPI #1760595342 in Show Low, Arizona

Provider Information

NPI Number: 1760595342
Entity Type: Individual
Name: Jeffery Carleton Northup, DO
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: DO
Enumeration Date: Aug 16, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 5171 CUB LAKE ROAD
Address 2: BLDG B SUITE 210
City: Show Low
State: Arizona
ZIP Code: 85901
Phone: (800) 344-8299

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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