Cristo Rey Healthcare, LLC

NPI #1205802279 in St Marys, Kansas

Provider Information

NPI Number: 1205802279
Entity Type: Organization
Organization Name: Cristo Rey Healthcare, LLC
Primary Specialty: Family Medicine
Enumeration Date: Feb 28, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 907A E JESUIT LN
City: St Marys
State: Kansas
ZIP Code: 66536-9605
Phone: (785) 437-3711

Authorized Official

Name: DR. CARL BRUCE CARROLL, M.D.
Title: PHYSICIAN
Phone: (785) 437-3711

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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