Individual
CHARLES BENJAMIN CARTER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4511 N CAMPBELL AVE STE 100, TUCSON, AZ 85718-6424
(520) 529-6500
(520) 209-7337
Mailing address
6622 N 91ST AVE STE 220, GLENDALE, AZ 85305-2569
(602) 759-6883
(602) 224-3315
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
62734
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
090305
—
AZ
05
—
200199750A
—
IN
Enumeration date
07/01/2005
Last updated
05/20/2021
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