Individual
DR. JOHN V CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
620 E MONROE ST, MEXICO, MO 65265-2919
(573) 582-8292
(573) 582-3292
Mailing address
200 PORTLAND ST, COLUMBIA, MO 65201-6525
(573) 886-4600
(573) 886-4695
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
R6C28
MO
Other
Enumeration date
05/03/2006
Last updated
12/12/2007
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