Individual
DR. DAVID W CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
314 S 11TH AVE, SUITE A, YAKIMA, WA 98902-3212
(509) 575-0114
(509) 575-0808
Mailing address
501 S 5TH AVE, YAKIMA, WA 98902-3550
(509) 494-6700
(509) 573-6275
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
OP60093316
WA
208000000X
Pediatrics Physician
OT-011450
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0252037
LABOR & INDUSTRIES
WA
05
—
8543795
—
WA
Enumeration date
05/23/2008
Last updated
05/28/2015
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