Tara L Carlson, PA-C
NPI #1215978382 in Sturgis, South Dakota
Provider Information
- NPI Number
- 1215978382
- Entity Type
- Individual
- Name
- Tara L Carlson, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Jun 9, 2006
- Last Updated
- Feb 5, 2013
Practice Location
- Address
- 890 LAZELLE ST
- City
- Sturgis
- State
- South Dakota
- ZIP Code
- 57785
- Phone
- (605) 720-2600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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