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Individual
DR. CHESTER L. CARLSON
Active
Individual
DR. CHESTER L. CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
E-5307
AR
208D00000X
General Practice Physician
Primary
E-5307
AR
208D00000X
General Practice Physician
E5307
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
166986003
—
AR
01
—
5H348
ARKANSAS BLUE CROSS
AR
Enumeration date
04/04/2007
Last updated
04/02/2015
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