Individual
ALAN B CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
760 E PUSCH VIEW LN, SUITE 130, TUCSON, AZ 85737-9235
(520) 877-3668
(520) 797-0125
Mailing address
760 E PUSCH VIEW LN, SUTIE 130, TUCSON, AZ 85737-9235
(520) 877-3668
(520) 979-0125
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
449
MN
213E00000X
Podiatrist
694
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103291
UCARE - ROSEVILLE
MN
01
—
103295
UCARE HIGHLAND
MN
05
—
487052
—
AZ
05
—
504025600
—
MN
01
—
64599CA
BCBS
MN
Enumeration date
07/06/2006
Last updated
02/02/2011
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