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Individual

ALYSE MARIE CARLSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
701 HOSPITAL LOOP, FAIRCHILD AFB, WA 99011-8704
(247) 509-9898
Mailing address
8901 ROCKVILLE PIKE, BETHESDA, MD 20889-0001

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101263337
VA

Other

Enumeration date
03/29/2016
Last updated
09/01/2020
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