Individual
DENNIS J CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1013 DEWEY AVE, POTEAU, OK 74953-4409
(918) 647-2929
(918) 647-2288
Mailing address
PO BOX 1055, POTEAU, OK 74953-1055
(918) 647-2929
(918) 647-2288
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2689
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010141300
BLACK LUNG
OK
05
—
100090700A
—
OK
05
—
100090700C
—
OK
01
—
5572566
AETNA
—
01
—
93023
BCBS OF ARKANSAS
AR
Enumeration date
04/10/2006
Last updated
01/11/2011
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