NPI | 1710354543 |
---|---|
Doing Business As | CORY D. CARROLL, M.D. |
Entity Type | Organization |
Authorized Contact | CORY CARROLL Owner 970-221-5858 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO 30253) |
Enumeration Date | 2015-08-27 |
Last Update Date | 2015-08-27 |