Carter Professional Care, Pc | |
2308 W Highway 66 Stroud OK 74079-6729 | |
(918) 968-0079 | |
(918) 968-0079 |
Full Name | Carter Professional Care, Pc |
---|---|
Speciality | Family Medicine |
Location | 2308 W Highway 66, Stroud, Oklahoma |
Authorized Official Name and Position | Richard S Carter (DIRECTOR) |
Authorized Official Contact | 4055624221 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Carter Professional Care, Pc Po Box 6245 Edmond OK 73083-6245 Ph: (405) 562-4221 | Carter Professional Care, Pc 2308 W Highway 66 Stroud OK 74079-6729 Ph: (918) 968-0079 |
NPI Number | 1932299286 |
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Provider Enumeration Date | 10/14/2006 |
Last Update Date | 07/21/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932299286 | NPI | - | NPPES |
2000056870B | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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