MEDICARE: VERA B CARLSON MD, PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	5916429-8905	UT

General Provider Information

NPI Number	:	1023095585
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VERA B CARLSON MD, PHD

Provider Business Mailing Address
First Line	:	169 N GATEWAY DR STE 170
Second Line	:
City	:	PROVIDENCE
State	:	UT
Zip	:	84332-9855
Country	:	US
Telephone Number	:	435-752-5553
Fax Number	:	435-755-5043

Provider Business Practice Location Address
First Line	:	565 W 465 N STE 130
Second Line	:
City	:	PROVIDENCE
State	:	UT
Zip	:	84332-4802
Country	:	US
Telephone Number	:	435-752-5553
Fax Number	:	435-755-5043

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/27/2005
Last Update Date	:	01/31/2024

Similar Medicare Providers

1679608582 — PEACHTREE FAMILY MEDICINE PC
Practice Location Address:

565 W 465 N STE 130
PROVIDENCE, UT
84332-4802

Practice Phone: 435-752-5553
Practice Fax: 435-755-5043

1831662311 — CACHE VALLEY VEIN
Practice Location Address:

565 W 465 N STE 130
PROVIDENCE, UT
84332-4802

Practice Phone: 435-753-2842
Practice Fax:

1417895640 — EVAN SMITH
Practice Location Address:

545 W 465 N STE 100
PROVIDENCE, UT
84332-8004

Practice Phone: 801-655-4950
Practice Fax:

1912975186 — MR. BENJAMIN R KADAS APN
Practice Location Address:

517 W 100 N STE 110
PROVIDENCE, UT
84332-9826

Practice Phone: 435-755-6075
Practice Fax: 833-448-2959

1528896479 — QUANTUM HEALTHCARE LLC
Practice Location Address:

463 VONS WAY DRIVE
PROVIDENCE, UT
84332

Practice Phone: 435-770-2828
Practice Fax:

1639161565 — DR. CHRIS JAMES FROGLEY DC
Practice Location Address:

275 BESSIE LN
PROVIDENCE, UT
84332-9107

Practice Phone: 435-753-8898
Practice Fax: 435-753-8898

Directions to “ VERA B CARLSON MD, PHD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.