SearchIdaho103K00000X

John Carter

NPI 1275897266 · on the registry since 2012 · sole proprietor

Practice

Address
4748 N Waterfront Way
Boise, ID 83703
Phone
(208) 994-8732

Registry record

Primary taxonomy
103K00000X
103K00000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-06-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho