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Individual

JEFFREY R CARLSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
0101059179
VA
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
0101059179
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
208171
ANTHEM BC
05
6407188
VA
Enumeration date
12/15/2006
Last updated
01/12/2011
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