Individual
MARK C CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2302 N STOCKTON HILL RD STE G, KINGMAN, AZ 86401-4100
(928) 718-2225
(928) 718-2226
Mailing address
2302 N STOCKTON HILL RD STE G, KINGMAN, AZ 86401-4100
(928) 718-2225
(928) 718-2226
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
31559
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31559
MEDICAL LICENSE
AZ
05
—
899578
—
AZ
Enumeration date
02/14/2006
Last updated
12/05/2024
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