Organization
DOUGLAS CARLSON DO, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS EUGENE CARLSON DO (PRESIDENT)
(479) 430-0626
Entity
Organization
Contact information
Practice address
4504 RIDGE RD, ALMA, AR 72921-7488
(479) 430-0626
Mailing address
4504 RIDGE RD, ALMA, AR 72921-7488
(479) 430-0626
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
208D00000X
General Practice Physician
E4230
AR
Other
Enumeration date
03/20/2012
Last updated
12/04/2020
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