Individual
DOUGLAS EUGENE CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4504 RIDGE RD, ALMA, AR 72921-7488
(479) 430-0626
Mailing address
4504 RIDGE RD, ALMA, AR 72921-7488
(479) 430-0626
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
E4230
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
155935003
—
AR
05
—
200041730A
—
OK
Enumeration date
04/03/2006
Last updated
12/04/2020
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