Individual
CARL DAVID EASTEP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1901 E 32ND ST STE 4, JOPLIN, MO 64804-3071
(417) 781-0250
(417) 781-2581
Mailing address
1912 E LATANA DR, OZARK, MO 65721-8274
(870) 577-4991
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2019026919
MO
Other
Enumeration date
08/13/2019
Last updated
12/12/2019
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