Individual
PHILIP RALPH CAROPRESO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
630 LOCUST ST, CARTHAGE, IL 62321-1459
(217) 357-2173
(217) 357-3610
Mailing address
1813 GRAND AVE, KEOKUK, IA 52632-2943
(319) 524-3967
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2002004653
PROFESSIONAL LICENSE
MO
01
—
20232
PROFESSIONAL LICENSE
IA
05
—
4128926
—
IA
Enumeration date
06/07/2006
Last updated
11/05/2007
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