John D. Carlson MD

NPI #1679846166 in Crestview, Florida

Provider Information

NPI Number: 1679846166
Entity Type: Organization
Organization Name: John D. Carlson MD
Primary Specialty: Specialist
Enumeration Date: Feb 15, 2012
Last Updated: Feb 15, 2012

Practice Location

Address: 492 NORTH WILSON STREET
City: Crestview
State: Florida
ZIP Code: 32536
Phone: (850) 682-5332

Authorized Official

Name: JOHN DALE CARLSON, MD
Title: OWNER
Phone: (850) 682-5332

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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