Individual
MR. CARSON WILLIAM ANDREW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
900 N 2ND ST, ROCHELLE, IL 61068-1764
(815) 562-2181
Mailing address
900 N 2ND ST, ROCHELLE, IL 61068-1764
(815) 562-2181
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
085.006343
IL
363A00000X
Physician Assistant
Primary
085006343
IL
Other
Enumeration date
09/11/2017
Last updated
04/17/2024
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