Individual provider · Type 1 NPI
James Gerald Carlisle, MD
Vascular & Interventional Radiology Physician · Farmington, UT
NPI number
1750478707
Active
Practice location
1433 N 1075 W Ste 104
Farmington, UT 84025-2746
Fax (801) 296-6199
Mailing address
PO Box 25488
Salt Lake City, UT 84125-0488
Other practice locations
- 3702 S State St Ste 103, South Salt Lake, UT 84115-5096 · (801) 281-0027
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 5617957-1205 (UT) |
| Vascular & Interventional Radiology Physician Primary | 2085R0204X | 5617957-1205 (UT) |
Vascular & Interventional Radiology Physician: A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
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About NPI 1750478707
James Gerald Carlisle, MD's National Provider Identifier is 1750478707, issued on Oct 9, 2006. The primary taxonomy on file is Vascular & Interventional Radiology Physician (2085R0204X), and the practice location is in Farmington, UT. The record was last updated on May 28, 2021.