Individual
CARL THEODORE OPDERBECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
ROUTE 7 AND ROUTE 12, FORT DEFIANCE INDIAN HOSPITAL, FORT DEFIANCE, AZ 86504-0649
(928) 729-8020
(828) 729-8794
Mailing address
364 LOG CABIN LN, UNION MILLS, NC 28167-9004
(828) 288-0012
(828) 288-0012
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
196220
NY
Other
Enumeration date
08/26/2008
Last updated
08/26/2008
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