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Individual

MELVIN R CARTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
11 S MAIN ST, HURRICANE, UT 84737-1949
(435) 635-9444
(435) 635-8148
Mailing address
1055 N 500 W, PROVO, UT 84604-3305
(801) 354-8225
(801) 418-0941

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1687361205
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
870470946005
MEDICAID RURAL
UT
Enumeration date
04/27/2006
Last updated
04/10/2013
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