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Mr. Gerald E Carlson, DO
Specialist in Nampa, Idaho
NPI 1053339457

Gerald E Carlson is a Specialist based in Nampa, ID. Gerald E Carlson practices in Nampa, ID and has the professional credentials of DO. The NPI Number for Gerald E Carlson is 1053339457 and holds a License No. 0-19 (Idaho).

The current practice location address for Gerald E Carlson is 1603 12Th Ave Rd, Nampa, ID and can be reached out via phone at 208-467-2400 and via fax at 208-467-6416.

Location: 1603 12Th Ave Rd, Nampa, ID, 83686-7712
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053339457
Provider Name
Gerald E Carlson
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
1603 12Th Ave Rd, Nampa, ID, 83686-7712
Phone Number
208-467-2400
Fax Number
208-467-6416
Provider Enumeration Date
07/17/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1603 12Th Ave Rd
City
Nampa
State
Idaho
Zip
83686-7712
Phone Number
208-467-2400
Fax Number
208-467-6416
person
Provider Business Mailing Address Details
Address
1603 12Th Ave Rd
City
Nampa
State
Idaho
Zip
83686-7712
Phone Number
208-467-2400
Fax Number
208-467-6416
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
0-19 (Idaho)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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