MASON CARTER

EAGLE, ID
NPI1376188698
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: ID  53832)
Enumeration Date2019-11-11
Last Update Date2019-11-11
Business Address
MASON CARTER NP-C
21 N FISHER PARK WAY
EAGLE, ID 83616-4796
Phone number: 208-514-0670
Mailing Address
MASON CARTER NP-C
1300 N PENN STATION LN APT 201
MERIDIAN, ID 83642-9428
Phone number: