Organization
ROBERT L CARTER MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT LEONARD CARTER MD (OWNER PRESIDENT)
(417) 623-7700
Entity
Organization
Contact information
Practice address
1617 W 26TH STREET, JOPLIN, MO 64804
(417) 623-7700
(417) 623-0565
Mailing address
1617 W 26TH ST, JOPLIN, MO 64804-0322
(417) 623-7700
(417) 623-0565
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000010654
ANTHEM BCBS
MO
05
—
505214601
—
MO
Enumeration date
01/02/2007
Last updated
11/20/2009
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