Organization
MARIE J. CARTER, DO, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIE J. CARTER DO (PRESIDENT)
(405) 631-3435
Entity
Organization
Contact information
Practice address
11401 S WESTERN AVE, OKLAHOMA CITY, OK 73170-5819
(405) 735-3041
(405) 735-3146
Mailing address
PO BOX 890309, OKLAHOMA CITY, OK 73189-0309
(405) 631-3435
(405) 632-7416
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
3450
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200116430A
—
OK
Enumeration date
06/23/2006
Last updated
10/22/2020
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