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Jay W Carlson, DO
Gynecologic Oncology Physician in Springfield, Missouri
NPI 1194835181

Jay W Carlson is a Gynecologic Oncology Physician based in Springfield, MO and is specialized in Gynecologic Oncology. Jay W Carlson practices in Springfield, MO and has the professional credentials of DO. The NPI Number for Jay W Carlson is 1194835181 and holds a License No. JC015918 (Missouri).

The current practice location address for Jay W Carlson is 2055 S Fremont Ave, Springfield, MO and can be reached out via phone at 417-820-3554 and via fax at 417-820-3587. You can also correspond with Jay W Carlson through the mailing address at PO BOX 2580, SPRINGFIELD, MO - 65801-2580 (mailing address contact number: 417-829-4620).

Location: 2055 S Fremont Ave, Springfield, MO, 65801-2580
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194835181
Provider Name
Jay W Carlson
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
2055 S Fremont Ave, Springfield, MO, 65801-2580
Phone Number
417-820-3554
Fax Number
417-820-3587
Provider Enumeration Date
08/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1194835181 05 MO
187019003 05 AR
200454170A 05 OK
institution
Provider Business Practice Location Address Details
Address
2055 S Fremont Ave
City
Springfield
State
Missouri
Zip
65804-2206
Phone Number
417-820-3554
Fax Number
417-820-3587
person
Provider Business Mailing Address Details
Address
2055 S Fremont Ave
City
Springfield
State
Missouri
Zip
65804-2206
Phone Number
417-820-3554
Fax Number
417-820-3587
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Gynecologic Oncology
Taxonomy
207VX0201X
License No.
4038 (Iowa)
Definition
An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Surgical Oncology
Taxonomy
2086X0206X
License No.
JC015918 (Michigan)
Definition
A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.
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