Individual
DYLAN THOMAS CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1001 E PRIMROSE ST FL 2, SPRINGFIELD, MO 65807-5155
(417) 875-3276
(417) 875-3667
Mailing address
PO BOX 505673, SAINT LOUIS, MO 63150-5673
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
2024018226
MO
Other
Enumeration date
03/19/2018
Last updated
05/07/2026
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