Individual
HENRI R CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2503 S AVENUE A #3, YUMA, AZ 85364-7174
(928) 344-3250
(928) 344-3253
Mailing address
2503 S AVENUE A #3, YUMA, AZ 85364-7174
(928) 344-3250
(928) 344-3253
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
16179
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020011411
RAILROAD MEDICARE
AZ
05
—
277576
—
AZ
01
—
P0256980
BCBS OF ARIZONA
AZ
Enumeration date
11/07/2007
Last updated
10/05/2012
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