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Organization
DENNIS J CARTER DO PC
Active
Organization
DENNIS J CARTER DO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS J CARTER D.O. (OWNER)
(918) 647-2929
Entity
Organization
Contact information
Practice address
1013 DEWEY AVE, POTEAU, OK 74953-4409
(918) 647-2929
(918) 647-2288
Mailing address
PO BOX 1055, POTEAU, OK 74953-1055
(918) 647-2929
(918) 647-2288
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2689
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200085280A
—
OK
01
—
8P193
ARKANSAS BLUE CROSS BLUE SHIELD
AR
01
—
DF2722
RAILROAD MEDICARE
—
Enumeration date
07/07/2006
Last updated
07/29/2008
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