Individual
DR. ISAAC CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
249 CLARKSON RD, BALLWIN, MO 63011-2497
(636) 256-0707
Mailing address
124 AUDEN DR, DEFIANCE, MO 63341-1405
(636) 439-8411
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2025004801
MO
Other
Enumeration date
08/23/2023
Last updated
03/11/2025
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