Individual
ERIC MATTHEW CARRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1102 W 32ND ST, JOPLIN, MO 64804-3503
(417) 347-4570
Mailing address
PO BOX 3810, JOPLIN, MO 64803-3810
(417) 347-4662
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
2022020215
MO
Other
Enumeration date
06/05/2019
Last updated
02/29/2024
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