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NPI Code Detail

MEDICARE: YVONNE MARIE CARTER MD

MEDICARE: YVONNE MARIE CARTER MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianMD036425DC
2208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery) Physician60654AZ
3208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery) Physician22835NV

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00470611OTHERDCRAILROAD MEDICARE

General Provider Information

NPI Number : 1184771107
Entity Type Code : Individual
Provider Name (Legal Business Name) : YVONNE MARIE CARTER MD
Provider Business Mailing Address
First Line : 3016 W CHARLESTON BLVD STE 100
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-1973
Country : US
Telephone Number : 702-671-5150
Fax Number : 702-384-6493
Provider Business Practice Location Address
First Line : 1707 W CHARLESTON BLVD STE 160
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-2354
Country : US
Telephone Number : 702-671-5150
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/04/2007
Last Update Date : 06/19/2023

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