Individual
JEFFREY COLIN CARROLL
Active
Individual
JEFFREY COLIN CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
32882
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200717720A
—
OK
Enumeration date
04/18/2014
Last updated
09/13/2019
Update your record
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