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Individual
DR. JON P CARLSON
Active
Individual
DR. JON P CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
49469
CT
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
054206
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
CT
Other
Enumeration date
01/16/2008
Last updated
04/26/2021
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