Most Relevant Information
Provider Data
| NPI Number: | 1003028671 |
| Provider Name: | NICHOLAS PAUL CARPER M.D., M.P.H. |
| Entity Type: | Individual |
| Taxonomy Code: | 2083X0100X |
| Specialty: | Preventive Medicine |
| License Number: | 2002001993 |
Most Important Dates
| Enumeration Date: | 05/04/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
1001 N HIGHWAY DR
FENTON
MO
630261907
Practice Location Phone/Fax
| Phone: | 6363432400 |
| Fax: |
Provider Mailing Location
19050 BEAR TRAIL RD
WILDWOOD
MO
630381133
Provider Mailing Phone/Fax
| Phone: | 6362733947 |
| Fax: |