Peter J Carroll, PA

NPI #1134138878 in Ft Carson, Colorado

Provider Information

NPI Number: 1134138878
Entity Type: Individual
Name: Peter J Carroll, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Aug 5, 2006
Last Updated: Feb 1, 2017

Practice Location

Address: 1650 COCHRANE CIR
Address 2: USAMEDDAC
City: Ft Carson
State: Colorado
ZIP Code: 80913-4613
Phone: (719) 503-7027

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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