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Individual

DR. BRENT ALAN CARROLL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
234 GOODMAN ST, CINCINNATI, OH 45219-2364
(513) 558-4194
(513) 558-0995
Mailing address
PO BOX 636256, CINCINNATI, OH 45263-6256
(513) 585-5502
(513) 585-5511

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35.097816
OH
207L00000X
Anesthesiology Physician
ME104412
FL

Other

Enumeration date
06/01/2007
Last updated
05/30/2017
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