Individual
JARED CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
770 BURBANK ST, BROOMFIELD, CO 80020-1658
(303) 819-9120
Mailing address
796 S CARR AVE, LAFAYETTE, CO 80026-1568
(303) 819-9120
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MT.0009813
CO
Other
Enumeration date
02/09/2015
Last updated
02/09/2015
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