# ERIC CARLSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1477532810
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | 30252 | CO | Yes |

## Other

- **Enumeration date:** 01/13/2006
- **Last updated:** 07/07/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 01302520 | — | CO |
| 01 | — | 159056900 | US DEPT OF LABOR | — |
| 01 | — | 29405 | ANTHEM BCBS | — |
| 01 | — | 5502AMPR005587 | ANTHEM BCBS NASCO BLUE CA | — |
| 01 | — | P00262002 | RAILROAD MEDICARE | CO |
