Individual provider · Type 1 NPI

Gregory Phillips Carlisle, DO

Pediatric Critical Care Medicine Physician · Tucson, AZ

NPI number 1164082913 Active

Practice location

1625 N Campbell Ave
Tucson, AZ 85719-4330

Fax (520) 694-6204

Specialties and licenses

TaxonomyCodeLicense
Pediatric Critical Care Medicine Physician 2080P0203X1023927 (MA)
Pediatrics Physician 208000000X71264 (MN)
Pediatric Critical Care Medicine Physician 2080P0203X71264 (MN)
Pediatric Critical Care Medicine Physician Primary 2080P0203X012651T (AZ)

Pediatric Critical Care Medicine Physician: A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates…

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About NPI 1164082913

Gregory Phillips Carlisle, DO's National Provider Identifier is 1164082913, issued on Jun 14, 2019. The primary taxonomy on file is Pediatric Critical Care Medicine Physician (2080P0203X), and the practice location is in Tucson, AZ. The record was last updated on Sep 10, 2026.