PETER J CARROLL

FT CARSON, CO
NPI1134138878
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2006-08-05
Last Update Date2017-02-01
Business Address
-- PETER J CARROLL PA
1650 COCHRANE CIR USAMEDDAC
FT CARSON, CO 80913-4613
Phone number: 719-503-7027
Mailing Address
-- PETER J CARROLL PA
1650 COCHRANE CIR USAMEDDAC
COLORADO SPRINGS, CO 80913-4613
Phone number: 719-503-7027