BRIAN D. CARROLL

MARION, IL
NPI1558789479
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: IL  164003714)
Additional Taxonomies133V00000X Dietitian, Registered
(Licence: MO  2014006008)
Enumeration Date2014-03-29
Last Update Date2014-03-29
Business Address
Prof. BRIAN D. CARROLL
1909 W COOLIDGE AVE
MARION, IL 62959-1097
Phone number: 618-997-5677
Mailing Address
Prof. BRIAN D. CARROLL
1718 WINERY RD
WEST FRANKFORT, IL 62896-4907
Phone number: 618-727-0523