Individual
PHILIP CARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3000 MACK RD STE 100, FAIRFIELD, OH 45014-5335
(513) 751-4222
Mailing address
3000 MACK RD STE 100, FAIRFIELD, OH 45014-5335
(513) 751-4222
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT-202052
PA
207RC0000X
Cardiovascular Disease Physician
35.136089
OH
207RC0000X
Cardiovascular Disease Physician
MT202052
PA
207RI0011X
Interventional Cardiology Physician
10928
SD
207RI0011X
Interventional Cardiology Physician
Primary
35.136089
OH
Other
Enumeration date
06/26/2012
Last updated
08/01/2019
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