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Individual

DR. STEVEN J CARR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
371 S BROADVIEW ST, CAPE GIRARDEAU, MO 63703-5761
(573) 331-6710
(573) 331-6710
Mailing address
371 S BROADVIEW ST, CAPE GIRARDEAU, MO 63703-5761
(573) 331-6710
(573) 331-6710

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD431654
PA
207RI0011X
Interventional Cardiology Physician
Primary
2012016488
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1019255070001
PA
05
2755933
OH
Enumeration date
06/06/2007
Last updated
03/13/2014
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