CARLSON SPORTS MEDICINE PC
Physician Assistant at Fairfield St, Mesa, AZ

License number
Arizona 1593
Category
Nursing
Type
Physician Assistant
Owner
Name: MR. CHRISTOPHER R CARLSON PA
Title: PRESIDENT
Phone: (480) 350-3800
Address
Address
1534 E Fairfield St, Mesa, AZ 85203
National Provider ID: 1356597363
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Carlson Sports Medicine PC

1534 E Fairfield St, Mesa, AZ 85203

Industry:
Health/Allied Services
Physician Assistant, President, Principal:
Christopher R. Carlson (Physician Assistant, President, Principal)

CARLSON SPORTS MEDICINE, PC

Suite Fiv SUITE FIVE, Mesa, AZ 85206

Registration:
Jun 26, 2000
State ID:
-0954602-5
Expiration:
PERPETUAL
Secretarys:
Christopher R Carlson (President), 1534 E Fairfield St, Mesa, AZ 85203 (Physical),Becky H Carlson (Secretary), 1534 E Fairfield St, Mesa, AZ 85203 (Physical)
Agent:
James L Dorozinsky,4435 E Broadway Rd SUITE FIVE, Mesa, AZ 85206 (Physical)
Business type:
HEALTH CARE

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