Individual
THOMAS L CARLISLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-7714
(319) 353-8377
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-7714
(319) 353-8377
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
27120
IA
207RH0003X
Hematology & Oncology Physician
Primary
27120
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0297580
—
IA
01
—
29758
WELLMARK BCBS
IA
Enumeration date
10/04/2005
Last updated
11/28/2007
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