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1265090146
ERIC MATTHEW CARRILLO
JOPLIN, MO
NPI
1265090146
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208M00000X Hospitalist
(Licence: MO 2022020215)
Enumeration Date
2019-06-05
Last Update Date
2024-02-29
Business Address
ERIC MATTHEW CARRILLO MD
1102 W 32ND ST
JOPLIN, MO 64804-3503
Phone number: 417-347-4570
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Mailing Address
ERIC MATTHEW CARRILLO MD
PO BOX 3810
JOPLIN, MO 64803-3810
Phone number: 417-347-4662
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