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Individual

CHRIS ADAIR CARSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4129 E VAN BUREN ST, PHOENIX, AZ 85008-6939
(602) 797-8394
Mailing address
10261 N CENTRAL AVE, PHOENIX, AZ 85020-1051
(602) 882-1015

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
33231
AZ
2084P0800X
Psychiatry Physician
H7945
TX
2084P0800X
Psychiatry Physician
MD2005-0302
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
894932
AZ
Enumeration date
07/13/2005
Last updated
11/19/2010
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