Carlson Sports Medicine PC

NPI #1356597363 in Mesa, Arizona

Provider Information

NPI Number: 1356597363
Entity Type: Organization
Organization Name: Carlson Sports Medicine PC
Primary Specialty: Physician Assistant
Enumeration Date: Aug 9, 2008
Last Updated: Aug 9, 2008

Practice Location

Address: 1534 E FAIRFIELD ST
City: Mesa
State: Arizona
ZIP Code: 85203-5030
Phone: (480) 350-3800

Authorized Official

Name: MR. CHRISTOPHER R CARLSON, PA
Title: PRESIDENT
Phone: (480) 350-3800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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