Willard R Carnahan
Medical Specialty
Professional ID
- NPI: 1285686311
- PECOS ID: 1759315914
- Enrollment ID: I20070918000332
- Credential(MD, DO, DPM):
- Medical School: University Of Texas Medical Branch At Galveston
- Medical School Graduation Year: 1977
Hospital Service
- Hospital CCN1: 030085
- Business Name (LBN)1: Northwest Medical Center
- Hospital CCN2: 030114
- Business Name (LBN)2: Oro Valley Hospital
- Hospital CCN3: 030010
- Business Name (LBN)3: St. Marys Hospital
Medical Practices
- Organization Name: Presidio Surgical Group, P.c.
- Group Practice ID assigned by PECOS: 6800874025
- Number of Group Practice member: 3
Location
- Address1: 6320 N La Cholla Blvd
- Address2: Suite 310
- City: Tucson
- State: Arizona
- Zip Code: 85741
- Phone Number: (520)219-9125
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
- Used Electronic health record (EHR): Yes