Individual
DYLAN CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
ONE HOSPITAL DRIVE, SUITE M562, COLUMBIA, MO 65212
(573) 884-3233
(573) 884-5994
Mailing address
ONE HOSPITAL DRIVE, SUITE M562, COLUMBIA, MO 65212
(573) 884-3233
(573) 884-5994
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2018020009
MO
Other
Enumeration date
06/13/2018
Last updated
06/13/2018
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