| NPI | 1669127114 |
|---|---|
| Other Name | COLLIN CARR |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AL 1969) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2022-02-14 |
| Last Update Date | 2022-05-15 |