Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | 297 | CO |
Y | 213EG0000X | General Practice | 297 | CO |
NPI | 1003938499 |
---|---|
Provider Name | Dr. Carl Thomas Warrington |
First Address | Alamosa, CO 81101-2589 |
Second Address | Alamosa, CO 81101-2589 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/04/2007 |
Last Update Date | 15/07/2008 |