Phillip Carroll, CO

NPI 1295970796 · on the registry since 2008

Practice

Address: 1130 Coffee Rd
Suite B
Modesto, CA 95355
Phone: (209) 549-1000
Fax: (209) 549-1016
Organisation at this address: D Park Dds Inc
Chun Po Huang,Dds,Inc.
Recto F. Deleon, M.D. Inc.
Gettysburg Medical Clinic Inc
D. Gordon Anderson, Md., Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 14

Registry record

Primary taxonomy: Orthotist
222Z00000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2008-12-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California