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1760498687
BRIAN W CARLSON
LOGAN, UT
NPI
1760498687
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: UT 53583271205)
Enumeration Date
2006-07-31
Last Update Date
2022-06-23
Business Address
BRIAN W CARLSON MD
412 N 200 E
LOGAN, UT 84321-4038
Phone number: 435-713-2800
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Mailing Address
BRIAN W CARLSON MD
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number: 435-713-2800
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