MR. GERALD CARLSON, D.O

Specialist

Active Individual
NPI: 1053339457

Practice Address

1603 12TH AVE RD
STE. B
Nampa, ID 83686

Phone: (208) 467-2400

Specialties

Specialty Code Primary License
Specialist 174400000X Yes 0-19 (ID)

Frequently Asked Questions

NPI 1053339457 is the National Provider Identifier for MR. GERALD CARLSON, D.O, a Specialist provider located in Nampa, ID. This NPI was enumerated on July 17, 2006.
MR. GERALD CARLSON, D.O practices at 1603 12TH AVE RD, STE. B, Nampa, ID 83686.

Quick Facts

NPI
1053339457
Type
Individual
Enumerated
Jul 17, 2006
Last Updated
Jul 8, 2007

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