Individual
JOHN MARK CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
8422 E SHEA BLVD, 103, SCOTTSDALE, AZ 85260-6661
(480) 478-6620
(480) 478-6628
Mailing address
8422 E SHEA BLVD, 103, SCOTTSDALE, AZ 85260-6661
(480) 478-6620
(480) 478-6628
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN 02769
AZ
163W00000X
Registered Nurse
RN 357922
CA
163W00000X
Registered Nurse
RN 590080
PA
163W00000X
Registered Nurse
RN 650968
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA 084670
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
528901
—
AZ
Enumeration date
06/09/2010
Last updated
06/28/2010
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