Gregory Phillips Carlisle, DO
Pediatrics, Pediatric Critical Care Medicine in Tucson, AZ. Individual provider (NPI-1).
NPI number1164082913
StatusActive
Last updated in NPPESSep 10, 2026
Details
- NPI
- 1164082913
- Entity type
- Individual (NPI-1)
- Name
- Gregory Phillips Carlisle
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 14, 2019
- Certification date
- Sep 10, 2026
- Last updated
- Sep 10, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2080P0203X | Pediatrics, Pediatric Critical Care Medicine | 012651T | AZ | Yes |
| 2080P0203X | Pediatrics, Pediatric Critical Care Medicine | 1023927 | MA | |
| 208000000X | Pediatrics | 71264 | MN | |
| 2080P0203X | Pediatrics, Pediatric Critical Care Medicine | 71264 | MN |
Practice location
1625 N Campbell AveTucson, AZ 85719-4330
Phone 520-694-0111 · Fax 520-694-6204
Mailing address
1625 N Campbell AveTucson, AZ 85719-4330
Phone 520-694-0111 · Fax 520-694-6204
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