Individual
MR. WILLIAM D CARLSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1400 BLACKHORSE HILL RD, COATESVILLE, PA 19320-2040
(610) 384-7711
Mailing address
115 SPRUCE STREET, BOX 663, CORNWALL, PA 17016
(717) 273-7078
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA000254L
PA
Other
Enumeration date
06/14/2006
Last updated
07/08/2007
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