Carlson, Mark Luther

Carlson, Mark Luther is an individual health care provider with primary practice located at 1423 N Jefferson Ave , Springfield MO 65802-1917. He recently has only one registered license in Allopathic & Osteopathic Physicians / Addiction Medicine, which is considered as his primary health care specialty. Carlson, Mark Luther can be contacted via phone (417) 269-2273.

Contact Information

Primary practice address
1423 N Jefferson Ave Springfield MO 65802-1917
Phone: (417) 269-2273
Fax: (417) 269-8851
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X 101949 Missouri

Profile Details

NPI number 1528192150
LBN Legal business name Carlson, Mark Luther
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2007
Last updated Oct 12th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers