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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARK LUTHER CARLSON, M.D.

Active

MARK LUTHER CARLSON, M.D. is a Addiction Medicine (Internal Medicine) healthcare provider located in SPRINGFIELD, Missouri. NPI 1528192150 is currently active in the NPPES registry. Verify at CMS.

Addiction Medicine (Internal Medicine) · SPRINGFIELD, MO

Registration Details

NPI Number
1528192150
Provider Type
Individual
Gender
Male
NPI Issued
Mar 15, 2007 (19.453626992314 yrs)
Last Updated
Oct 12, 2018
License
101949 (MO)

Practice Information

Address
1423 N JEFFERSON AVE
SPRINGFIELD, MO, 658021917
Browse MO providers · Browse ZIP 65802
Phone
4172692273
Fax
4172698851
Primary Specialty
Addiction Medicine (Internal Medicine)
207RA0401X
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.