| Chester Carlson D.O. PLLC | |
|
5300 Airport Blvd Bldg 7 Fort Smith AR 72903-6078 | |
| (479) 320-8870 | |
| (479) 739-8707 |
| Full Name | Chester Carlson D.O. PLLC |
|---|---|
| Speciality | Clinic/center |
| Location | 5300 Airport Blvd Bldg 7, Fort Smith, Arkansas |
| Authorized Official Name and Position | Chester Carlson (OWNER) |
| Authorized Official Contact | 5015513556 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chester Carlson D.O. PLLC 1550 Pecan Ridge Dr Alma AR 72921-8494 Ph: (501) 551-3556 | Chester Carlson D.O. PLLC 5300 Airport Blvd Bldg 7 Fort Smith AR 72903-6078 Ph: (479) 320-8870 |
| NPI Number | 1538879507 |
|---|---|
| Provider Enumeration Date | 12/01/2022 |
| Last Update Date | 12/01/2022 |
| Certification Date | 11/30/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538879507 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
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