Individual
ERIC JAQUES CARBONELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
110 N MILL ST, FESTUS, MO 63028-1816
(636) 931-2700
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
(660) 885-8131
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2022033244
MO
2084P0800X
Psychiatry Physician
ME111815
FL
Other
Enumeration date
08/07/2006
Last updated
04/23/2025
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