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Individual

CHAD LEE CARREL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
1551 N. OAKLAND, BOLIVAR, MO 65613
(417) 326-8700
(417) 777-7881
Mailing address
1551 N. OAKLAND, BOLIVAR, MO 65613
(417) 326-8700
(417) 777-7881

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
2004007602
MO

Other

Enumeration date
09/13/2006
Last updated
10/30/2007
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