Provider Demographics
NPI:1609954031
Name:CARTER, ROBIN E (DO)
Entity Type:Individual
Prefix:MS
First Name:ROBIN
Middle Name:E
Last Name:CARTER
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:559 VINCENT ST
Mailing Address - Street 2:ATTN: 21MDOS/SGOF - FAMILY PRACTICE
Mailing Address - City:PETERSON AFB
Mailing Address - State:CO
Mailing Address - Zip Code:80914-1541
Mailing Address - Country:US
Mailing Address - Phone:719-556-2273
Mailing Address - Fax:866-867-7928
Practice Address - Street 1:559 VINCENT ST
Practice Address - Street 2:ATTN: 21MDOS/SGOF - FAMILY PRACTICE
Practice Address - City:PETERSON AFB
Practice Address - State:CO
Practice Address - Zip Code:80914-1541
Practice Address - Country:US
Practice Address - Phone:719-556-2273
Practice Address - Fax:866-867-7928
Is Sole Proprietor?:No
Enumeration Date:2006-11-02
Last Update Date:2014-06-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO35933207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
G49544Medicare UPIN