Individual
CARL L WILLINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
HIS
Contact information
Practice address
2757 S CLARK ST STE B, MEXICO, MO 65265-3812
(573) 581-6633
(573) 581-9998
Mailing address
2757 S CLARK ST STE B, MEXICO, MO 65265-3812
(573) 581-6633
(573) 581-9998
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
2001025782
MO
Other
Enumeration date
03/20/2012
Last updated
03/20/2012
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