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Randall Allen Carter, PA-C
Medical Physician Assistant in Moore, Oklahoma
NPI 1073559373

Randall Allen Carter is a Medical Physician Assistant based in Moore, OK and is specialized in Medical. Randall Allen Carter practices in Moore, OK and has the professional credentials of PA-C. The NPI Number for Randall Allen Carter is 1073559373 and holds a License No. 1045 (Oklahoma).

The current practice location address for Randall Allen Carter is 1400 Se 4Th St Ste H, Moore, OK and can be reached out via phone at 405-799-7400 and via fax at 405-799-7405. You can also correspond with Randall Allen Carter through the mailing address at 1400 SE 4TH ST STE H, MOORE, OK - 73160-7328 (mailing address contact number: 405-799-7400).

Location: 1400 Se 4Th St Ste H, Moore, OK, 73160-7328
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Provider Profile Details
NPI Number
1073559373
Provider Name
Randall Allen Carter
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
1400 Se 4Th St Ste H, Moore, OK, 73160-7328
Phone Number
405-799-7400
Fax Number
405-799-7405
Provider Enumeration Date
06/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1045 01 OK OKLAHOMA BOARD OF MEDICAL LICENSURE
institution
Provider Business Practice Location Address Details
Address
1400 Se 4Th St Ste H
City
State
Zip
73160
Phone Number
405-799-7400
Fax Number
405-799-7405
person
Provider Business Mailing Address Details
Address
1400 Se 4Th St Ste H
City
State
Zip
73160
Phone Number
405-799-7400
Fax Number
405-799-7405
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
1045 (Oklahoma)
Definition
Definition to come...
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