Individual
COREY CARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
301 W POPLAR ST, WALLA WALLA, WA 99362-2858
(509) 897-8959
Mailing address
301 W POPLAR ST STE 220, WALLA WALLA, WA 99362-2800
(509) 897-8959
(509) 897-5788
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60824929
WA
Other
Enumeration date
02/02/2018
Last updated
10/11/2024
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