Individual
EDWARD R CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2525 E ROOSEVELT ST, PHOENIX, AZ 85008-4948
(602) 344-1015
(602) 344-1011
Mailing address
2929 E THOMAS RD, PHOENIX, AZ 85016-8034
(602) 470-5000
(602) 470-5064
Taxonomy
Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
Primary
46959
AZ
2080P0214X
Pediatric Pulmonology Physician
MD00030546
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
206410
INTERNAL ID-MOTOR VEHICLE ID
—
05
—
8212698
—
WA
Enumeration date
10/13/2006
Last updated
03/17/2018
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