Individual provider · Type 1 NPI

Jay W. Carlson, DO

Gynecologic Oncology Physician · Springfield, MO

NPI number 1194835181 Active

Practice location

2055 S Fremont Ave, Ste 200
Springfield, MO 65804-2206

Fax (417) 820-3587

Mailing address

PO Box 2580
Springfield, MO 65801-2580

Specialties and licenses

TaxonomyCodeLicense
Gynecologic Oncology Physician 207VX0201XJC015918 (MI)
Surgical Oncology Physician 2086X0206X4038 (IA)
Gynecologic Oncology Physician 207VX0201X4038 (IA)
Gynecologic Oncology Physician Primary 207VX0201X2011006588 (MO)

Gynecologic Oncology Physician: 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.

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About NPI 1194835181

Jay W. Carlson, DO's National Provider Identifier is 1194835181, issued on Aug 30, 2006. The primary taxonomy on file is Gynecologic Oncology Physician (207VX0201X), and the practice location is in Springfield, MO. The record was last updated on Mar 30, 2013.