Individual
JOHN ROBERTSON CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 W 10TH ST, ROLLA, MO 65401-2905
(573) 458-8899
Mailing address
1000 W 10TH ST, ROLLA, MO 65401-2905
(573) 458-8899
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2018022261
MO
207R00000X
Internal Medicine Physician
Primary
2021028418
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200058345
—
MO
Enumeration date
06/25/2018
Last updated
07/31/2024
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