COREY D CARSON

PROVIDENCE HEALTH AND SERVICES - WASHINGTON

Dr COREY D CARSON is a male medical professional, specializing in Physician Assistant. He graduated in 2017.

Contact

PROVIDENCE HEALTH AND SERVICES - WASHINGTON

301 W POPLAR ST
WALLA WALLA
WA
993622800

Tel:

COREY D CARSON Information

Npi 1497254635
Pac Id 8022379619
Professional Enrollment Id I20180222000617
Last Name CARSON
First Name COREY
Middle Name D
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2017
Primary Specialty PHYSICIAN ASSISTANT
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name PROVIDENCE HEALTH AND SERVICES - WASHINGTON
Group Practice Pac Id 2860552973
Number Of Group Practice Members 146
Line 1 Street Address 301 W POPLAR ST
Line 2 Street Address
Marker Of Address Line 2 Suppression Y
City WALLA WALLA
State WA
Zip Code 993622800
Phone Number
Hospital Affiliation Ccn 1 500002
Hospital Affiliation Lbn 1 PROVIDENCE ST MARY MEDICAL CENTER
Hospital Affiliation Ccn 2 381319
Hospital Affiliation Lbn 2 ST ANTHONY HOSPITAL
Hospital Affiliation Ccn 3 381325
Hospital Affiliation Lbn 3 GOOD SHEPHERD MEDICAL CENTER
Hospital Affiliation Ccn 4 381321
Hospital Affiliation Lbn 4 GRANDE RONDE HOSPITAL
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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