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Individual

GRANT L CARTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1068 E RIVERSIDE DR, ST GEORGE, UT 84790-4477
(435) 628-6466
(435) 628-3845
Mailing address
1068 E RIVERSIDE DR, ST GEORGE, UT 84790-4477
(435) 628-6466
(435) 628-3845

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
163965-1205
UT
207VG0400X
Gynecology Physician
Primary
163965-1205
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
06170
UT
Enumeration date
07/22/2005
Last updated
06/27/2011
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