Individual provider · Type 1 NPI
Jeffery Carleton Northup, DO
Specialist · Show Low, AZ
NPI number
1760595342
Active
Practice location
5171 Cub Lake Road, Bldg B Suite 210
Show Low, AZ 85901
Fax (928) 537-4437
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 1447 (AZ) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2 other providers at this address
Other specialist providers in Show Low
About NPI 1760595342
Jeffery Carleton Northup, DO's National Provider Identifier is 1760595342, issued on Aug 16, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Show Low, AZ. The record was last updated on Jul 8, 2007.