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Organization

SAMUEL R CARTER, M.D.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SAMUEL R CARTER M.D. (PHYSICIAN/OWNER)
(417) 659-4661
Entity
Organization

Contact information

Practice address
1020 MCINTOSH CIR STE 203, JOPLIN, MO 64804-3689
(417) 659-4661
(417) 659-8509
Mailing address
1020 MCINTOSH CIR STE 203, JOPLIN, MO 64804-3689
(417) 659-4661
(417) 659-8509

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD109788
MO

Other

Enumeration date
01/28/2009
Last updated
01/28/2009
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