MR. Jeffrey D.t. Carroll, PAC
NPI #1285169698 in Mount Vernon, Washington
Provider Information
- NPI Number
- 1285169698
- Entity Type
- Individual
- Name
- MR. Jeffrey D.t. Carroll, PAC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PAC
- Enumeration Date
- Apr 23, 2017
- Last Updated
- Mar 17, 2018
Practice Location
- Address
- 307 S 13TH ST STE 300
- City
- Mount Vernon
- State
- Washington
- ZIP Code
- 98274-4100
- Phone
- (360) 336-9757
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
| Physician Assistant - Medical — Medical |
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