| NPI | 1295328532 |
|---|---|
| Other Name | CARBON HEALTH MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | MARLEY PAGE Credentialing Manager 417-861-9739 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2021-02-18 |
| Last Update Date | 2025-06-25 |