Juan C Pallares, MD - Radiology in Fort Defiance, AZ

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Juan C Pallares, MD is a Radiology - Diagnostic Radiology physician based in Fort Defiance, Arizona. Juan C Pallares is licensed to practice in Texas (license number F8602) and his current practice location is Corner Route N12 And N7, Fort Defiance, Arizona. He can be reached at his office (for appointments etc.) via phone at (928) 729-8000.

NPI number for Juan C Pallares is 1578544987 and his current mailing address is Po Box 649, Fort Defiance, Arizona. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1578544987.

Contact Information

Juan C Pallares, MD
Corner Route N12 And N7,
Fort Defiance, AZ 86504
(928) 729-8000
Not Available

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Physician's Profile

Full NameJuan C Pallares
GenderMale
SpecialityRadiology - Diagnostic Radiology
LocationCorner Route N12 And N7, Fort Defiance, Arizona
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1578544987
  • Provider Enumeration Date: 11/11/2005
  • Last Update Date: 11/16/2015

Medical Identifiers

Medical identifiers for Juan C Pallares such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578544987NPI-NPPES
110390504MedicaidTX
110390505MedicaidTX

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology F8602 (Texas)Primary
2085R0202XRadiology - Diagnostic Radiology ME87312 (Florida)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Juan C Pallares is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Juan C Pallares, MD
Po Box 649,
Fort Defiance, AZ 86504-0649

Ph: (928) 729-8000		Juan C Pallares, MD
Corner Route N12 And N7,
Fort Defiance, AZ 86504

Ph: (928) 729-8000

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Radiology Doctors in Fort Defiance, AZ


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