Individual
DR. JON P CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9139 RIDGELINE BLVD, HIGHLANDS RANCH, CO 80129-2333
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
49469
CT
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
054206
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
024675
KAISER COMMERCIAL NUMBER
CO
05
—
41658833
—
CO
Enumeration date
01/16/2008
Last updated
04/26/2021
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