Individual
EDWARD A CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
106 BLANCA AVE, ALAMOSA, CO 81101-2340
(877) 662-4044
Mailing address
106 BLANCA AVE, ALAMOSA, CO 81101-2340
(719) 589-8053
(719) 587-1430
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
39201
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39336875
—
CO
01
—
P00138148
RAILROAD MEDICARE
CO
Enumeration date
06/16/2006
Last updated
03/18/2013
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