NPI 1144200916

Joel Andrew Carlson, DO

Practitioner Obstetrics & Gynecology Physician Pocatello, ID

Practice location

Address: 777 Hospital Way Bldg a Suite 300, Pocatello, ID 83201-5176
Phone: (208) 233-1720
Fax: (208) 239-3403

Registered specialties (2)

Obstetrics & Gynecology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207V00000X Licence O-0407 (ID)

Other Obstetrics & Gynecology providers in Idaho →

Obstetrics & Gynecology Physician

Allopathic & Osteopathic Physicians Taxonomy 207V00000X Licence 3140 (IA)

Registry record

NPI: 1144200916
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Jan 2006
Record last updated: 19 Jul 2012

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.