Individual
MARIE JUDITH CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
11401 S WESTERN AVE, OKLAHOMA CITY, OK 73170-5819
(405) 735-3041
(405) 735-3146
Mailing address
11401 S WESTERN AVE, OKLAHOMA CITY, OK 73170-5819
(405) 735-3041
(405) 735-3146
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
3450
OK
208D00000X
General Practice Physician
Primary
3450
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100229790A
—
OK
01
—
P00132191
RAILROAD MEDICARE
OK
Enumeration date
06/29/2006
Last updated
10/28/2025
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