Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOHN W CARLISLE, MD
ActiveJOHN W CARLISLE, MD is a Dermatology healthcare provider located in LEWISTON, Idaho. NPI 1538242318 is currently active in the NPPES registry. Verify at CMS.
Dermatology · LEWISTON, ID
Registration Details
- NPI Number
- 1538242318
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 23, 2006 (19.830537195608 yrs)
- Last Updated
- Jul 9, 2007
- Licenses
-
MD8169 (ID)MD00012692 (WA)
Practice Information
- Address
-
2315 8TH STLEWISTON, ID, 835017301Browse ID providers · Browse ZIP 83501
- Phone
- 2087461383
- Fax
- 2082984521
- Primary Specialty
-
Dermatology
207N00000X
- Additional Specialty
- Dermatology
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.