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Individual

VERA B CARLSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD, PHD

Contact information

Practice address
565 W 465 N STE 130, PROVIDENCE, UT 84332-4802
(435) 752-5553
(435) 755-5043
Mailing address
169 N GATEWAY DR STE 170, PROVIDENCE, UT 84332-9855
(435) 752-5553
(435) 755-5043

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5916429-8905
UT

Other

Enumeration date
12/27/2005
Last updated
01/31/2024
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