Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PHILLIP CARROLL, CO
ActivePHILLIP CARROLL, CO is a Orthotist healthcare provider located in MODESTO, California. NPI 1295970796 is currently active in the NPPES registry. Verify at CMS.
Orthotist · MODESTO, CA
Registration Details
- NPI Number
- 1295970796
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 11, 2008 (17.672503830584 yrs)
- Last Updated
- Dec 11, 2008
- License
-
CO002162 (CA)
Practice Information
- Address
-
1130 COFFEE RDSUITE BMODESTO, CA, 953554228Browse CA providers · Browse ZIP 95355
- Phone
- 2095491000
- Fax
- 2095491016
- Primary Specialty
-
Orthotist
222Z00000X
Other Orthotist Providers in MODESTO, CA
| Name | Credential | NPI |
|---|---|---|
| ANTHONY D WILLIAMS | — | 1538493705 |
| MISS CARLY KOESTER | CPO | 1497287684 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.