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1427348507
NEIL J CARROLL
BAKER CITY, OR
NPI
1427348507
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OR MD167452)
Enumeration Date
2011-04-11
Last Update Date
2014-09-26
Business Address
-- NEIL J CARROLL MD
3950 17TH ST
BAKER CITY, OR 97814-1300
Phone number: 541-523-1001
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Mailing Address
-- NEIL J CARROLL MD
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2222
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