Individual
BRYAN CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1455 E 3RD STREET, SAN BERNARDINO, CA 92410
(909) 382-7100
Mailing address
25590 PROSPECT AVE, APT 04B, LOMA LINDA, CA 92354-3141
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
10/09/2015
Last updated
10/09/2015
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