NPI 1023095585

Vera B Carlson, MDPHD

Practitioner Family Medicine Physician Providence, UT

Practice location

Address: 565 W 465 N STE 130, Providence, UT 84332-4802
Phone: (435) 752-5553
Fax: (435) 755-5043
Mailing address: 169 N Gateway Dr STE 170, Providence, UT 84332-9855

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 5916429-8905 (UT)

Other Family Medicine providers in Utah →

Registry record

NPI: 1023095585
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Dec 2005
Record last updated: 31 Jan 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.