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Individual

NICOLE CARTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4041 N CENTRAL AVE BLDG C, PHOENIX, AZ 85012-3313
(602) 279-5262
(602) 279-5390
Mailing address
4041 N. CENTRAL AVE. BUILDING C, PHOENIX, AZ 85012
(602) 279-5262
(602) 279-5390

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26452
AZ

Other

Enumeration date
08/16/2006
Last updated
06/15/2017
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