Individual
RICHARD CARLSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD,PHD
Contact information
Practice address
2525 E ROOSEVELT ST, PHOENIX, AZ 85008-4948
(602) 344-1015
Mailing address
3255 E ELWOOD ST, #110, PHOENIX, AZ 85034-7256
(602) 470-5043
(602) 470-5064
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
23785
AZ
Other
Enumeration date
05/31/2006
Last updated
07/08/2007
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