Individual
SCOTT CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 E 5TH AVE, SPOKANE, WA 99202-1334
(509) 838-2531
Mailing address
PO BOX 3649, SPOKANE, WA 99220-3649
(509) 838-2531
Taxonomy
Speciality
Code
Description
License number
State
2084N0008X
Neuromuscular Medicine (Psychiatry & Neurology) Physician
MD00025562
WA
2084N0400X
Neurology Physician
Primary
MD00025562
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8304081
—
WA
Enumeration date
08/15/2005
Last updated
12/03/2013
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