Individual
MR. ROGER F CARLSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2852 REDWOOD PKWY, VALLEJO, CA 94591-3633
(707) 553-8222
(707) 553-1154
Mailing address
2852 REDWOOD PKWY, VALLEJO, CA 94591-3633
(707) 553-8222
(707) 553-1154
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
00G231060
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZZ80657Z
—
CA
Enumeration date
05/26/2006
Last updated
07/08/2007
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