Individual
DR. JON BRANDON CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
621 S NEW BALLAS RD STE 3005B, SAINT LOUIS, MO 63141-8266
(314) 251-7070
Mailing address
621 S NEW BALLAS RD STE 3005B, SAINT LOUIS, MO 63141-8266
(314) 251-7070
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
2024037003
MO
207XX0801X
Orthopaedic Trauma Physician
48167
KY
Other
Enumeration date
07/05/2010
Last updated
10/07/2024
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