Individual
DAVID JAMES CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 BODIN CIR, TRAVIS AFB, CA 94535-1809
(707) 423-2300
(707) 423-7496
Mailing address
101 BODIN CIR, TRAVIS AFB, CA 94535-1809
(707) 423-2300
(707) 423-7496
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
A447520
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A447520
—
CA
Enumeration date
11/15/2005
Last updated
10/29/2021
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