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James Carroll

NPI 1740615228 · on the registry since 2013

Practice

Address
218 N 23rd St
Coeur D Alene, ID 83814
Phone
(208) 664-3300
Fax
(208) 667-3154

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2013-09-04

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 Idaho