Provider Demographics
NPI:1386693992
Name:BOX, KAREN M (MD)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:M
Last Name:BOX
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:PO BOX 10880
Mailing Address - Street 2:
Mailing Address - City:PRESCOTT
Mailing Address - State:AZ
Mailing Address - Zip Code:86304-0880
Mailing Address - Country:US
Mailing Address - Phone:602-406-4786
Mailing Address - Fax:916-636-4358
Practice Address - Street 1:1050 GAIL GARDNER WAY STE 300
Practice Address - Street 2:
Practice Address - City:PRESCOTT
Practice Address - State:AZ
Practice Address - Zip Code:86305-1640
Practice Address - Country:US
Practice Address - Phone:928-717-5240
Practice Address - Fax:928-717-5238
Is Sole Proprietor?:No
Enumeration Date:2006-05-09
Last Update Date:2025-02-03
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Provider Licenses
StateLicense IDTaxonomies
AZ19996207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ822967Medicaid
AZZWCKJD47Medicare PIN
AZ822967Medicaid
AZ110092074Medicare PIN
AZZ11WCFGW26Medicare PIN