Individual provider · Type 1 NPI

Carl Anthony Diblasio Iii, MD

Student in an Organized Health Care Education/Training Program · Gulfport, MS

NPI number 1801648712 Active

Practice location

4500 13th St
Gulfport, MS 39501-2515

Call (228) 867-4968 Map

Mailing address

2256 Edgewood Dr
Bullhead City, AZ 86442-8834

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1801648712

Carl Anthony Diblasio Iii, MD's National Provider Identifier is 1801648712, issued on Apr 3, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Gulfport, MS. The record was last updated on Apr 3, 2024.