Individual
CHRISTINE A. CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10101 RIDGEGATE PKWY, LONE TREE, CO 80124-5522
(719) 225-1900
Mailing address
PO BOX 173862, DENVER, CO 80217-3862
(303) 306-7783
(303) 306-7753
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3085
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
29573840
—
CO
01
—
P01106546
RAILROAD MEDICARE
CO
Enumeration date
09/28/2010
Last updated
06/12/2015
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