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Individual

ERIC CARLSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
3723 W 12600 S STE 430, RIVERTON, UT 84065-7310
(801) 285-4200
Mailing address
3723 W 12600 S STE 430, RIVERTON, UT 84065-7310
(801) 285-4200

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
005994
KY
207Q00000X
Family Medicine Physician
Primary
14230691-1204
UT

Other

Enumeration date
04/07/2021
Last updated
11/11/2025
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