# DR. CHESTER L. CARLSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1164544045
- **Gender:** Man
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | E-5307 | AR | — |
| 208D00000X | General Practice Physician | E-5307 | AR | Yes |
| 208D00000X | General Practice Physician | E5307 | AR | — |

## Other

- **Enumeration date:** 04/04/2007
- **Last updated:** 04/02/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 166986003 | — | AR |
| 01 | — | 5H348 | ARKANSAS BLUE CROSS | AR |