Individual
MARK PHILP CARROLL JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9320 GRAND CORDERA PARKWAY, SUITE 100, COLORADO SPRINGS, CO 80924
(719) 282-6337
(719) 282-0532
Mailing address
9320 GRAND CORDERA PARKWAY, SUITE 100, COLORADO SPRINGS, CO 80924
(719) 282-6337
(719) 282-0532
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DR.0045118
CO
Other
Enumeration date
02/03/2006
Last updated
12/18/2019
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