Gerald Carlson, D.O

NPI 1053339457 · on the registry since 2006 · sole proprietor

Practice

Address: 1603 12th Ave Rd
Ste. B
Nampa, ID 83686
Phone: (208) 467-2400
Fax: (208) 467-6416
Organisation at this address: Wmcesa
Randall L. Rudeen Md Pa
Dynamic Surgical Care, Inc.
Gregory N Schaefer M.D., P.A.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 9

Registry record

Primary taxonomy: 174400000X
174400000X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho