Individual
DR. CARISA ROSE CHAMPION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO, JD, MPH
Contact information
Practice address
2701 DEKALB PIKE, EAST NORRITON, PA 19401-1820
(727) 510-6593
Mailing address
2701 DEKALB PIKE, EAST NORRITON, PA 19401-1820
(727) 510-6593
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
7928
OK
208200000X
Plastic Surgery Physician
Primary
7928
OK
208600000X
Surgery Physician
Primary
7928
OK
Other
Enumeration date
04/22/2016
Last updated
07/15/2026
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