MARY L CAROLLO

COLORADO SPRINGS, CO
NPI1508914904
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: CO  498)
Enumeration Date2007-01-08
Last Update Date2007-07-08
Business Address
Ms. MARY L CAROLLO P A C
175 S UNION BLVD STE 345
COLORADO SPRINGS, CO 80910
Phone number: 719-471-7158
Mailing Address
Ms. MARY L CAROLLO P A C
5955 WILSON ROAD
COLORADO SPRINGS, CO 80919-3553
Phone number: 719-548-9182