Individual
CARSON SLADE SHOCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1102 W 32ND ST, JOPLIN, MO 64804-3503
(417) 347-1111
Mailing address
11659 SE 10TH ST, BAXTER SPRINGS, KS 66713-1484
(620) 202-2957
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
—
MO
Other
Enumeration date
05/07/2026
Last updated
05/07/2026
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