Individual
JILL KATHRYN CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COT
Contact information
Practice address
10 CANYON CEDAR, LITTLETON, CO 80127-3531
(720) 982-3961
Mailing address
10 CANYON CEDAR, LITTLETON, CO 80127-3531
(720) 982-3961
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
84407
CO
Other
Enumeration date
04/20/2018
Last updated
04/20/2018
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