TODD PHILLIP DECARLIS

SPRINGFIELD, MO
NPI1598004152
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: MO  2013003532)
Enumeration Date2013-02-01
Last Update Date2013-02-01
Business Address
-- TODD PHILLIP DECARLIS PA
2900 S NATIONAL AVE
SPRINGFIELD, MO 65804-3634
Phone number: 417-885-3888
Mailing Address
-- TODD PHILLIP DECARLIS PA
PO BOX 4024
SPRINGFIELD, MO 65808-4024
Phone number: 417-885-3888
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