Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 2007019176 | MO |
N | 207X00000X | Orthopaedic Surgeon | OS016905 | PA |
NPI | 1033182050 |
---|---|
Provider Name | Dr. Troy Henry Caron |
First Address | Saint Louis, MO 63141-8270 |
Second Address | Saint Louis, MO 63141-8270 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/02/2006 |
Last Update Date | 23/02/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
072795400 | (05) | MD |
102897372 | (05) | PA |
1033182050 | (05) | MO |
166568003 | (05) | AR |
271719100 | (05) | FL |
431560263 | TRICARE WEST (01) | MO |
I 35266 | (02) | FL |