Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Carlson Sports Medicine PC

Organization Physician Assistant · NPI 1356597363

Carlson Sports Medicine PC provides Physician Assistant services in Mesa, Arizona. Licensed in Arizona. Registered with an NPI since 2008.

Licensed in
AZ
In the registry since
2008
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1534 E Fairfield St
Mesa, AZ 85203-5030 Not confirmed with CMS for 18 years — call before visiting
Phone: (480) 350-3800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1593 (AZ)

Record details

NPI number1356597363
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christopher Carlson — President · (480) 350-3800
NPI enumeratedAugust 9, 2008
Last updated in NPPESAugust 9, 2008
Mailing addressPo Box 31917, Mesa, AZ 85275-1917

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