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1528192150
MARK LUTHER CARLSON
SPRINGFIELD, MO
NPI
1528192150
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RA0401X Internal Medicine, Addiction Medicine
(Licence: MO 101949)
Enumeration Date
2007-03-15
Last Update Date
2018-10-12
Business Address
MARK LUTHER CARLSON M.D.
1423 N JEFFERSON AVE
SPRINGFIELD, MO 65802-1917
Phone number: 417-269-2273
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Mailing Address
MARK LUTHER CARLSON M.D.
1423 N JEFFERSON AVE
SPRINGFIELD, MO 65802-1917
Phone number: 417-269-2273
Copy
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