Individual
GRANT ALLAN CARSON
Active
Individual
GRANT ALLAN CARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
01072829
IN
207L00000X
Anesthesiology Physician
Primary
01072829A
IN
390200000X
Student in an Organized Health Care Education/Training Program
11015407A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201107560
—
IN
01
—
P01424290
RAIL ROAD PTAN
IN
01
—
Q00372285
RAILROAD PTAN
IN
Enumeration date
05/26/2010
Last updated
11/26/2024
Update your record
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