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Individual

DR. JOHN CAUDELL CARSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
304 W WASHINGTON AVE, RICHLAND, MO 65556-7101
(877) 406-2662
(573) 723-1474
Mailing address
304 W WASHINGTON AVE, RICHLAND, MO 65556-7101
(877) 406-2662
(573) 814-6177

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2024028733
MO
207Q00000X
Family Medicine Physician
Primary
DO.000127
LA

Other

Enumeration date
05/31/2005
Last updated
07/29/2024
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