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
7928
OK
Other
Enumeration date
04/22/2016
Last updated
12/30/2024
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