| Carson Slade Shockley, | |
|
1102 W 32nd St, Joplin, MO 64804-3503 | |
| (417) 347-1111 | |
| Not Available |
| Full Name | Carson Slade Shockley |
|---|---|
| Gender | Male |
| Speciality | Anesthesiologist Assistant |
| Location | 1102 W 32nd St, Joplin, Missouri |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285561605 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367H00000X | Anesthesiologist Assistant | (Missouri) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Carson Slade Shockley, 11659 Se 10th St, Baxter Springs, KS 66713-1484 Ph: (620) 202-2957 | Carson Slade Shockley, 1102 W 32nd St, Joplin, MO 64804-3503 Ph: (417) 347-1111 |
Sally Ann Mitchell, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1102 W 32nd St, Joplin, MO 64804 Phone: 417-347-5222 | |
Wesley Middleton, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1102 W 32nd St, Joplin, MO 64804 Phone: 417-347-1111 | |
Tylor Scott Payne, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1102 W 32nd St, Joplin, MO 64804 Phone: 417-347-1111 | |
Rocky Kyser, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1102 W 32nd St, Joplin, MO 64804 Phone: 417-347-1111 |