Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | DR-46340 | CO |
NPI | 1003815176 |
---|---|
Provider Name | John Christian Mccarter |
First Address | Denver, CO 80246-1939 |
Second Address | Lakewood, CO 80215-5518 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2005 |
Last Update Date | 15/02/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H06694 | (02) |