CARL THEODORE OPDERBECK

FORT DEFIANCE, AZ
NPI1316194954
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207V00000X Obstetrics & Gynecology
(Licence: NY  196220)
Enumeration Date2008-08-26
Last Update Date2008-08-26
Business Address
-- CARL THEODORE OPDERBECK MD
ROUTE 7 AND ROUTE 12 FORT DEFIANCE INDIAN HOSPITAL
FORT DEFIANCE, AZ 86504-0649
Phone number: 928-729-8020
Mailing Address
-- CARL THEODORE OPDERBECK MD
364 LOG CABIN LN
UNION MILLS, NC 28167-9004
Phone number: 828-288-0012
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