Russell P Carter Jr MD INC

NPI #1841471166 in Manteca, California

Provider Information

NPI Number
1841471166
Entity Type
Organization
Organization Name
Russell P Carter Jr MD INC
Primary Specialty
Internal Medicine
Enumeration Date
Nov 15, 2007
Last Updated
Jun 17, 2008

Practice Location

Address
200 COTTAGE AVE
Address 2
SUITE 201
ZIP Code
95336-4935
Phone
(209) 239-4554

Authorized Official

Name
DR. RUSSELL PHILIP CARTER JR., MD
Title
PRESIDENT/PHYSICIAN
Phone
(209) 239-4554

Specialties & Taxonomy Codes

Specialty
Internal Medicine

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