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NPI 1174569883

IndividualActive

David Carron, D.P.M

NPI 1174569883 · Podiatrist · Jefferson City, MO

Provider details

NPI number: 1174569883
Entity type: Individual
Primary specialty: PodiatristPodiatric Medicine & Surgery Service Providers
Credential: D.P.M
Sex: Male
Sole proprietor: No
License: MO000667 (MO)

Practice location

3207 W Truman Blvd

Suite C

Jefferson City, MO 65109-0578

Phone: (573) 659-2376

Fax: (573) 893-3342

More MO providers

Mailing address

3207 W Truman Blvd

Jefferson City, MO 65109-0578

Registry dates

Enumerated: 2006-06-21
Last updated: 2011-10-10

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

David Carron, D.P.M — NPI 1174569883, Jefferson City, MO | NPI Central