Mark Luther Carlson in Springfield - Addiction Medicine
Mark Luther Carlson - NPI 1528192150
Mark Luther Carlson is a Addiction Medicine in Springfield, Missouri. Mark Luther Carlson practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for Mark Luther Carlson is 1528192150. The last update date is 2018-10-12.
Mark Luther Carlson's current location address is 1423 N Jefferson Ave, Springfield, Missouri. You can contact this provider via phone number 4172692273 and fax number 4172698851. The mailing address for Mark Luther Carlson is 1423 N Jefferson Ave, Springfield, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Luther Carlson |
|---|---|
| Address | 1423 N Jefferson Ave, Springfield, Missouri |
| Phone Number | 4172692273 |
| Fax Number | 4172698851 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1528192150 |
|---|---|
| Provider Enumeration Date | 2007-03-15 |
| Last Updated Date | 2018-10-12 |
Provider Mailing Address Detail
| Address | 1423 N Jefferson Ave |
|---|---|
| City | Springfield |
| State | Missouri (MO) |
| Post Code | 658021917 |
| Phone Number | 4172692273 |
| Fax Number | 4172698851 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction Medicine |
|---|---|
| Taxonomy | 207Ra0401X |
| Licence No | 101949 |
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Definition: An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualification |
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What is the Mark Luther Carlson's unique identification number?
The Mark Luther Carlson has been assigned the NPI (National Provider Identifier) Number 1528192150 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Mark Luther Carlson is physically located?
The Mark Luther Carlson is situated at the following address: 1423 N Jefferson Ave, Springfield, MO 658021917.
What is the Mark Luther Carlson's area of specialization and corresponding taxonomy classification?
The Mark Luther Carlson's specialty field is Addiction Medicine, and it falls under the taxonomy code 207Ra0401X, which categorizes healthcare providers based on their specialties.
On what date was the 1528192150 assigned to Mark Luther Carlson?
The Mark Luther Carlson was issued its 1528192150 on 2007-03-15, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Mark Luther Carlson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Mark Luther Carlson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2018-10-12.