Healthcare Provider Details

I. General information

NPI: 1831193572
Provider Name (Legal Business Name): DONALD R CARTER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2005
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 S POTOMAC ST STE 240
AURORA CO
80012-4541
US

IV. Provider business mailing address

4900 S MONACO ST STE 210D-12
DENVER CO
80237-3486
US

V. Phone/Fax

Practice location:
  • Phone: 303-750-8600
  • Fax: 303-743-7800
Mailing address:
  • Phone: 303-750-8600
  • Fax: 303-743-7800

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License NumberDR.0020126
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: