Individual
DR. DAVID STEPHEN CARRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M
Contact information
Practice address
3207 W TRUMAN BLVD, SUITE C, JEFFERSON CITY, MO 65109-0578
(573) 659-2376
(573) 893-3342
Mailing address
3207 W TRUMAN BLVD, SUITE C, JEFFERSON CITY, MO 65109-0578
(573) 659-2376
(573) 893-3342
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
MO000667
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20-1117309
MERCY
—
01
—
248520
HEALTHLINK
—
01
—
25894
BLUE CROSS BLUE SHIELD
—
05
—
30691215
—
MO
01
—
4565615
AETNA
—
01
—
P00344559
RAILROAD MEDICARE
MO
Enumeration date
06/21/2006
Last updated
10/10/2011
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