Individual provider · Type 1 NPI

Todd Phillip Decarlis, PA

Surgical Physician Assistant · Springfield, MO

NPI number 1598004152 Active

Practice location

2900 S National Ave
Springfield, MO 65804-3634

Call (417) 885-3888 Map

Fax (417) 881-7638

Mailing address

PO Box 4024
Springfield, MO 65808-4024

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X2013003532 (MO)

Surgical Physician Assistant: Definition to come...

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About NPI 1598004152

Todd Phillip Decarlis, PA's National Provider Identifier is 1598004152, issued on Feb 1, 2013. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Springfield, MO. The record was last updated on Feb 1, 2013.