MR. Carl Wesley Fillingame, PA

NPI #1265971733 in Independence, Missouri

Provider Information

NPI Number
1265971733
Entity Type
Individual
Name
MR. Carl Wesley Fillingame, PA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Surgical
Credential
PA
Enumeration Date
Feb 16, 2017
Last Updated
Feb 1, 2022

Practice Location

Address
19550 E 39TH ST S STE 230
ZIP Code
64057-2309
Phone
(816) 795-6630

Specialties & Taxonomy Codes

Specialty
Physician Assistant - SurgicalSurgical

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