Charles W Carroll, M.D.

NPI #1962445890 in Tipton, Iowa

Provider Information

NPI Number: 1962445890
Entity Type: Individual
Name: Charles W Carroll, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: Jun 14, 2006
Last Updated: Mar 18, 2008

Practice Location

Address: 56 CEDAR ST
City: Tipton
State: Iowa
ZIP Code: 52772-1705
Phone: (563) 886-2195

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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