Individual
DR. STEPHEN J CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2001 S WOODRUFF AVE, STE 3, IDAHO FALLS, ID 83404-6371
(208) 529-5909
(208) 529-5990
Mailing address
2001 S WOODRUFF AVE, STE 3, IDAHO FALLS, ID 83404-6371
(208) 529-5909
(208) 529-5990
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
M4157
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003645900
—
ID
Enumeration date
05/31/2005
Last updated
09/09/2021
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