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Individual
DR. BRAD CARLSON
Active
Individual
DR. BRAD CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
27684
OK
2085R0202X
Diagnostic Radiology Physician
A93955
CA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
27684
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200290830A
—
OK
Enumeration date
05/07/2007
Last updated
08/25/2025
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