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Individual

DR. CODY SHERIDAN CARTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
11234 ANDERSON ST RM 2516, LOMA LINDA, CA 92354-2804
(909) 558-4094
Mailing address
11234 ANDERSON ST RM 2516, LOMA LINDA, CA 92354-2804
(909) 558-4094

Taxonomy

Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
4301102984
MI
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
A159218
CA

Other

Enumeration date
05/23/2013
Last updated
04/16/2020
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