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Organization

CARTER PROFESSIONAL CARE, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RICHARD S CARTER MD (DIRECTOR)
(405) 562-4221
Entity
Organization

Contact information

Practice address
2308 W HIGHWAY 66, STROUD, OK 74079-6729
(918) 968-0079
(918) 968-0079
Mailing address
PO BOX 6245, EDMOND, OK 73083-6245
(405) 562-4221
(405) 562-4249

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2000056870B
OK
Enumeration date
10/14/2006
Last updated
07/21/2022
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