Individual
PATRICIA JOYCE CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4090 BRIARGATE PKWY, COLORADO SPRINGS, CO 80920-7815
(720) 777-1234
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0004750
CO
363AS0400X
Surgical Physician Assistant
Primary
0004750
CO
Other
Enumeration date
10/25/2016
Last updated
09/05/2023
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