DR. Russell P Carter JR., MD

NPI #1528049988 in Manteca, California

Provider Information

NPI Number: 1528049988
Entity Type: Individual
Name: DR. Russell P Carter JR., MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: MD
Enumeration Date: Nov 10, 2005
Last Updated: Oct 25, 2007

Practice Location

Address: 200 COTTAGE AVE
Address 2: SUITE 201
City: Manteca
State: California
ZIP Code: 95336
Phone: (209) 239-4554

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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