Individual
DR. BRIAN J CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2031 MCDANIEL ST, SUITE 210, NORTH LAS VEGAS, NV 89030-6303
(702) 633-0207
(209) 532-1817
Mailing address
5440 W SAHARA AVE STE 302, LAS VEGAS, NV 89146-0355
(702) 633-0207
(209) 532-1817
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
00G732910
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G732910
—
CA
01
—
100013695
RAILROAD MEDICARE
CA
05
—
1740255462
—
NV
Enumeration date
02/17/2006
Last updated
03/17/2018
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