Individual
DR. DAVID R. CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3023 HAMAKER CT, SUITE 210A, FAIRFAX, VA 22031-2222
(703) 698-8060
(703) 876-4691
Mailing address
3023 HAMAKER CT, SUITE 210A, FAIRFAX, VA 22031-2222
(703) 698-8060
(703) 876-4691
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0101016735
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101016735
STATE LICENSE
VA
Enumeration date
10/04/2006
Last updated
02/01/2011
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