Individual provider · Type 1 NPI

Christopher R. Carlson, PA-C, ATC

Surgical Physician Assistant · Mesa, AZ

NPI number 1144220526 Active

Practice location

4824 E Baseline Rd, Suite 113
Mesa, AZ 85206-4676

Call (480) 350-3800 Map

Mailing address

PO Box 31917
Mesa, AZ 85275-1917

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700X1593 (AZ)
Surgical Physician Assistant Primary 363AS0400X1593 (AZ)

Surgical Physician Assistant: Definition to come...

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About NPI 1144220526

Christopher R. Carlson, PA-C, ATC's National Provider Identifier is 1144220526, issued on Jul 28, 2005. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Mesa, AZ. The record was last updated on Feb 5, 2008.