NPI

Desmon Paige Carl

NPI 1073518247

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Credential
o.d.
Type
Individual
Enumeration date
2005-06-15
Last updated
2010-04-28

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Specialties

Licenses

License MO
2004017484

Location

Practice location
1200 Winchester Dr
City
Sedalia MO
Postal code
65301-2467
Phone
(660) 826-2642

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Other NPIs in Sedalia, MO. 621 records in the public file.

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