Individual
DR. JOHN DAVID CAREY
Active
Individual
DR. JOHN DAVID CAREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
20020450
NM
207NS0135X
Procedural Dermatology Physician
20020450
NM
207ZD0900X
Dermatopathology (Pathology) Physician
MD2002-0450
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
76659755
—
NM
01
—
NM009L30
BCBS
NM
01
—
P00177449
MC RR
—
Enumeration date
09/14/2005
Last updated
05/22/2014
Update your record
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