Individual
JOHN R CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1083 LOS PALOS DR, SALINAS, CA 93901-3916
(831) 771-1456
(831) 783-3124
Mailing address
1081 LOS PALOS DR, B, SALINAS, CA 93901-3916
(831) 771-1456
(831) 783-3124
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
G40653
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G406531
MEDICARE PTAN
CA
01
—
AW372Y
MEDICARE RAILROAD
CA
Enumeration date
07/07/2005
Last updated
08/14/2022
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