MEDICARE: DUWAYNE A CARLSON MD

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	207XX0801X	Orthopaedic Trauma Physician	19774	NE
2	207XX0801X	Orthopaedic Trauma Physician	13518634-1235	UT
3	207XX0801X	Orthopaedic Trauma Physician	DR.0057590	CO

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P01070476	OTHER	NE	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1538257746
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DUWAYNE A CARLSON MD

Provider Business Mailing Address
First Line	:	3219 CENTRAL AVE STE 102A
Second Line	:
City	:	KEARNEY
State	:	NE
Zip	:	68847-2949
Country	:	US
Telephone Number	:	308-865-2600
Fax Number	:

Provider Business Practice Location Address
First Line	:	2373 G RD STE 100
Second Line	:
City	:	GRAND JUNCTION
State	:	CO
Zip	:	81505-1003
Country	:	US
Telephone Number	:	970-245-0484
Fax Number	:	970-241-1681

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

Provider Enumeration Date	:	10/11/2006
Last Update Date	:	04/11/2025

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Directions to “ DUWAYNE A CARLSON MD” Practice Location

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