Individual
MR. CHARLES TOBY CARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
19064 W 61ST PL, GOLDEN, CO 80403-1031
(303) 279-7077
(303) 279-1012
Mailing address
19064 W 61ST PL, GOLDEN, CO 80403-1031
(303) 279-7977
(303) 279-1012
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
56308779
—
CO
Enumeration date
04/26/2007
Last updated
07/09/2007
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