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
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.