Individual
DR. JOHN G CARSON
Active
Individual
DR. JOHN G CARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
36117446
IL
208600000X
Surgery Physician
A85584
CA
2086S0129X
Vascular Surgery Physician
36117446
IL
2086S0129X
Vascular Surgery Physician
A85584
CA
2086S0129X
Vascular Surgery Physician
Primary
MD21625
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1871507228
—
ME
Enumeration date
07/28/2006
Last updated
04/17/2023
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