Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0007X | Plastic Surgeon (Head & Neck) | G70792 | CA |
NPI | 1083634364 |
---|---|
Provider Name | Dr. Donald Phillip Carter |
First Address | Merced, CA 95348-2731 |
Second Address | Merced, CA 95348-2731 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2006 |
Last Update Date | 23/06/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G707920 | (05) | CA |
C51972 | (02) | CA |