Individual
DANIEL RAYMOND CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
500 E. 1400 N., LOGAN, UT 84341
(435) 716-2000
Mailing address
500 E. 1400 N., LOGAN, UT 84341
(435) 716-2000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9085243-1206
UT
Other
Enumeration date
06/13/2014
Last updated
06/14/2019
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