Individual
JOHN CLIFFORD CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
1430 TULANE AVE # SL-37, NEW ORLEANS, LA 70112-2632
(504) 988-5456
(504) 988-1771
Mailing address
1430 TULANE AVE # SL-37, NEW ORLEANS, LA 70112-2632
(504) 988-5456
(504) 988-1771
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
MD.200766
LA
208000000X
Pediatrics Physician
MD.200766
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01870255
—
MS
05
—
1069612
—
LA
Enumeration date
03/24/2008
Last updated
03/08/2018
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