Organization
CARLSON SPORTS MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER R CARLSON PA (PRESIDENT)
(480) 350-3800
Entity
Organization
Contact information
Practice address
1534 E FAIRFIELD ST, MESA, AZ 85203-5030
(480) 350-3800
Mailing address
PO BOX 31917, MESA, AZ 85275-1917
(480) 350-3800
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1593
AZ
Other
Enumeration date
08/09/2008
Last updated
08/09/2008
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