Healthcare Provider Details

I. General information

NPI: 1023695798
Provider Name (Legal Business Name): JULIAN THOMAS CARRIER DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2021
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

750 HOSPITAL LOOP
CRAIG CO
81625-8750
US

IV. Provider business mailing address

959 WOODGATE DR
KIRKWOOD MO
63122-2422
US

V. Phone/Fax

Practice location:
  • Phone: 970-824-9411
  • Fax: 970-826-3116
Mailing address:
  • Phone: 314-308-0649
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberDR.0077233
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: