Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 52130 | CO |
Y | 207XS0106X | Orthopaedic Hand Surgeon | DR0052130 | CO |
NPI | 1144486937 |
---|---|
Provider Name | Karston J Carr |
First Address | Grand Junction, CO 81506-6019 |
Second Address | Grand Junction, CO 81505-1002 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/08/2008 |
Last Update Date | 20/03/2015 |