Individual
SUNGJOON CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5499
(480) 301-8000
Mailing address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5499
(480) 301-8000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
10002114A
IN
363A00000X
Physician Assistant
Primary
10738
AZ
363A00000X
Physician Assistant
PA1834
NV
363A00000X
Physician Assistant
PA55487
CA
Other
Enumeration date
09/08/2016
Last updated
02/25/2026
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