BRIAN RICHARD CARLSON

FORT POLK, LA
NPI1255986097
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Additional Taxonomies225100000X Physical Therapist
(Licence: OH  PT018930)
Enumeration Date2019-08-08
Last Update Date2026-07-15
Business Address
BRIAN RICHARD CARLSON Physician Assistant
1585 3RD ST
FORT POLK, LA 71459-5102
Phone number: 614-371-8434
Mailing Address
BRIAN RICHARD CARLSON Physician Assistant
1585 3RD ST BLDG 285
FORT JOHNSON, LA 71459-5102
Phone number: 614-371-8434
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