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Dallas Carroll, CDP

NPI 1225354376 · on the registry since 2010

Practice

Address
260 Flyaway Rd
Castle Rock, WA 98611
Phone
(360) 431-1929

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-04-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington