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Mr. John Dale Carlson, MD
Specialist in Crestview, Florida
NPI 1932131596

John Dale Carlson is a Specialist based in Crestview, FL. John Dale Carlson practices in Crestview, FL and has the professional credentials of MD. The NPI Number for John Dale Carlson is 1932131596 and holds a License No. ME0051484 (Florida).

The current practice location address for John Dale Carlson is 492 N Wilson St, Crestview, FL and can be reached out via phone at 850-682-5332 and via fax at 850-682-8486.

Location: 492 N Wilson St, Crestview, FL, 32536-3423
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932131596
Provider Name
John Dale Carlson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
492 N Wilson St, Crestview, FL, 32536-3423
Phone Number
850-682-5332
Fax Number
850-682-8486
Provider Enumeration Date
07/06/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
492 N Wilson St
City
Crestview
State
Florida
Zip
32536-3442
Phone Number
850-682-5332
Fax Number
850-682-8486
person
Provider Business Mailing Address Details
Address
492 N Wilson St
City
Crestview
State
Florida
Zip
32536-3442
Phone Number
850-682-5332
Fax Number
850-682-8486
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
ME0051484 (Florida)
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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