NPI 1407076193 · live from the CMS NPI Registry
Michael Jonathan Carlson, M.D.
Orthopaedic Surgery in Provo, UT. National Provider Identifier 1407076193, active.
NPI record
| NPI | 1407076193 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Orthopaedic Surgery 207X00000X |
| Practice location | 1055 N 500 W, Ste 121, Provo, UT 84604 |
| Practice phone | 801-373-7350 |
| Mailing address | 1055 N 500 W, Attn: Credentialing, Provo, UT 84604 |
| Enumerated | April 26, 2007 |
| Last updated | November 27, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery | 207X00000X | 5477 (NE) |
| Orthopaedic Surgery | 207X00000X | A114736 (CA) |
| Orthopaedic Surgery primary | 207X00000X | 8283131-1205 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.