Individual
DR. PHILLIP CARRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1550 S PIONEER WAY, MOSES LAKE, WA 98837-4613
(509) 793-9780
(509) 764-3245
Mailing address
1616 S PIONEER WAY, MOSES LAKE, WA 98837-2487
(509) 793-9715
(509) 764-3244
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
065-T1
WY
207Q00000X
Family Medicine Physician
Primary
MD70039642
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2350798
—
WA
Enumeration date
06/23/2015
Last updated
05/04/2026
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