Richard W Carlson
Medical Specialty
Professional ID
- NPI: 1174560270
- PECOS ID: 5799824462
- Enrollment ID: I20091209000643
- Credential(MD, DO, DPM):
- Medical School: University Of Southern California School Of Medicine
- Medical School Graduation Year: 1964
Hospital Service
- Hospital CCN1: 030022
- Business Name (LBN)1: Maricopa Medical Center
Medical Practices
- Organization Name: District Medical Group Inc
- Group Practice ID assigned by PECOS: 7315086691
- Number of Group Practice member: 298
Location
- Address1: 2525 E Roosevelt St
- Address2:
- City: Phoenix
- State: Arizona
- Zip Code: 85008
- Phone Number: (602)344-1015
Location
- Address1: 2601 E Rooosevelt St
- Address2:
- City: Phoenix
- State: Arizona
- Zip Code: 85008
- Phone Number:
Location
- Address1: 3141 N 3rd Ave
- Address2: Suite 100
- City: Phoenix
- State: Arizona
- Zip Code: 85013
- Phone Number: (602)914-1583
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
- Used Electronic health record (EHR):