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Individual

MR. CHRISTOPHER B CARRIGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ACNP

Contact information

Practice address
400 S KINGSHIGHWAY BLVD, SAINT LOUIS, MO 63110-1014
(314) 362-9123
(314) 747-3338
Mailing address
660 S EUCLID AVE, C B 8072, SAINT LOUIS, MO 63110-1010
(314) 362-9123
(314) 747-3338

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
2004018478
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1912140070
MO
05
ENROLLED
IL
Enumeration date
04/19/2009
Last updated
01/24/2018
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