Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEFFERY CARLETON NORTHUP, DO
Active Sole ProprietorSpecialist · SHOW LOW, AZ
Registration Details
- NPI Number
- 1760595342
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 16, 2006 (19.705028694628 yrs)
- Last Updated
- Jul 8, 2007
- License
-
1447 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5171 CUB LAKE ROADBLDG B SUITE 210SHOW LOW, AZ, 85901Browse AZ providers · Browse ZIP 85901
- Phone
- 8003448299
- Fax
- 9285374437
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in SHOW LOW, AZ
| Name | Credential | NPI |
|---|---|---|
| DR. STEVEN W HELLAND | M.D. | 1013903111 |
| SHEILA LOFGREEN | — | 1659419323 |
| MS. JANIE HIESIRMAN-GORAK | — | 1871632851 |
| MS. KIMBERLY SHREEVE | — | 1861524217 |
| JAY M BRASHEAR | OTRL | 1790994242 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.