Individual
MR. CARTER SCOTT ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
118 S MOUNTAIN AVE, SPRINGERVILLE, AZ 85938-5104
(928) 333-4368
(928) 333-4369
Mailing address
118 S MOUNTAIN AVE, SPRINGERVILLE, AZ 85938-5104
(928) 333-4368
(928) 333-4369
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3291
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
442525
—
AZ
Enumeration date
10/24/2006
Last updated
07/08/2007
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