Individual
DUANE LEE CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSC,CRC
Contact information
Practice address
921 NE 13TH ST, OKLAHOMA CITY, OK 73104-5007
(405) 270-0501
(405) 290-1777
Mailing address
12901 S WESTERN AVE, APT. 1905, OKLAHOMA CITY, OK 73170-6900
(405) 401-3249
(405) 290-1777
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
93052
OK
Other
Enumeration date
09/25/2006
Last updated
07/08/2007
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