Individual
CHRISTINE ANNE CARREJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1211 PORTER WAGONER BLVD STE 23, WEST PLAINS, MO 65775-1826
(417) 257-6762
Mailing address
3101 STATE ROUTE 14, WEST PLAINS, MO 65775-7422
(417) 362-9687
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2018028874
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
828536
—
AZ
Enumeration date
07/09/2009
Last updated
06/24/2024
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