Individual
MIRELA CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
412 SE 11TH ST, ANADARKO, OK 73005-4442
(405) 247-9500
(405) 247-9505
Mailing address
PO BOX 6245, EDMOND, OK 73083-6245
(405) 562-4221
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
24605
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200131280A
—
OK
Enumeration date
02/12/2007
Last updated
12/30/2014
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