Gerald E Carlson, DO

Practice location

Address

1603 12th Ave Rd STE. B, Nampa, ID 83686-7712

Phone

(208) 467-2400

Fax

(208) 467-6416

Registered specialties

Registry record

NPI

1053339457

Entity type

Individual

Sex (as registered)

Male

NPI issued

17 Jul 2006

Record last updated

8 Jul 2007

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.