Individual
DARRELL ANTHONY CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
1500 W WEST COVINA PKWY, WEST COVINA, CA 91790-2708
(626) 856-2226
(626) 960-5284
Mailing address
777 FLOWER ST, SUITE A, GLENDALE, CA 91201-3015
(818) 637-2000
(818) 242-8761
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10429
CA
Other
Enumeration date
08/01/2007
Last updated
04/14/2011
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