Individual
DR. CASEY ANN CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7701 SHERIDAN BLVD, WESTMINSTER, CO 80003-2605
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
(303) 338-4545
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DR.0060090
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
028849
KAISER COMMERCIAL NUMBER
CO
05
—
9000155870
—
CO
Enumeration date
03/31/2015
Last updated
02/13/2019
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