Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. GERALD E CARLSON, D.O
Active Sole ProprietorSpecialist · NAMPA, ID
Registration Details
- NPI Number
- 1053339457
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 17, 2006 (19.772342710225 yrs)
- Last Updated
- Jul 8, 2007
- License
-
0-19 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1603 12TH AVE RDSTE. BNAMPA, ID, 836867712Browse ID providers · Browse ZIP 83686
- Phone
- 2084672400
- Fax
- 2084676416
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in NAMPA, ID
| Name | Credential | NPI |
|---|---|---|
| DR. WILFRED E WATKINS | M.D., F.A.C.S. | 1710981162 |
| DR. GARY NED GREGERSON | M.D. | 1801834866 |
| MS. STACIE L WAITE | PT | 1649372418 |
| MR. DUSTIN JAY FIELDSTED | PT | 1265524193 |
| MS. HEIDI ANN FIELDSTED | PT | 1073606372 |
| MR. MARK CONLIN | RPT | 1992890560 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.