Individual provider · Type 1 NPI

Carl Wesley Fillingame, PA

Surgical Physician Assistant · Independence, MO

NPI number 1265971733 Active

Practice location

19550 E 39th St S Ste 230
Independence, MO 64057-2309

Fax (816) 795-6898

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1265971733

Carl Wesley Fillingame, PA's National Provider Identifier is 1265971733, issued on Feb 16, 2017. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Independence, MO. The record was last updated on Feb 1, 2022.