Individual
DR. JOHN AUSTIN CARLISLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
901 BURNETT DR, MOUNTAIN HOME, AR 72653-2908
(870) 421-9120
Mailing address
901 BURNETT DR, MOUNTAIN HOME, AR 72653-2908
(870) 425-9120
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
E14944
AR
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/01/2017
Last updated
06/10/2022
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