Samuel R Carter III MD

NPI 1760428973 - Internal Medicine - 207R00000X

NPI Details
NPI 1760428973
Gender Male
Enumeration Date 06/22/2006
Last Updated 01/10/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
2024 S MAIDEN LN
STE 203
JOPLIN MO, 64804-0320, US
Phone (417) 659-4661
Fax (417) 659-8509
Business Location
2024 S MAIDEN LN
STE 203
JOPLIN MO, 64804-0320, US
Phone (417) 659-4661
Fax (417) 659-8509
Toxanomy
Taxonomy Code 207R00000X
License State Missouri
License Number 109788
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According to our database, Samuel R Carter III MD NPI is 1760428973, taxonomy code is 207R00000X and license number is 109788, license state is located at Missouri. Samuel R Carter III MD physically located at 2024 S Maiden Ln, Joplin MO, 64804-0320. NPI Number Samuel R Carter III MD has the Individual type.

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1760428973 NPI number is provided on an as is basis without warranty of any kind. 1760428973 is maintained by the National Plan & Provider Enumeration System. The contents of Samuel R Carter III MD are for informational purposes only.