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Mark Luther Carlson, MD
Addiction Medicine (Internal Medicine) Physician in Springfield, Missouri
NPI 1528192150

Mark Luther Carlson is an Addiction Medicine (Internal Medicine) Physician based in Springfield, MO and is specialized in Addiction Medicine. Mark Luther Carlson practices in Springfield, MO and has the professional credentials of MD. The NPI Number for Mark Luther Carlson is 1528192150 and holds a License No. 101949 (Missouri).

The current practice location address for Mark Luther Carlson is 1423 N Jefferson Ave, Springfield, MO and can be reached out via phone at 417-269-2273 and via fax at 417-269-8851.

Location: 1423 N Jefferson Ave, Springfield, MO, 65802-1917
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528192150
Provider Name
Mark Luther Carlson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1423 N Jefferson Ave, Springfield, MO, 65802-1917
Phone Number
417-269-2273
Fax Number
417-269-8851
Provider Enumeration Date
03/15/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1423 N Jefferson Ave
City
Springfield
State
Missouri
Zip
65802-1917
Phone Number
417-269-2273
Fax Number
417-269-8851
person
Provider Business Mailing Address Details
Address
1423 N Jefferson Ave
City
Springfield
State
Missouri
Zip
65802-1917
Phone Number
417-269-2273
Fax Number
417-269-8851
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Addiction Medicine
Taxonomy
207RA0401X
License No.
101949 (Missouri)
Definition
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
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