Provider Demographics
NPI:1629042031
Name:MAURER, CARTER JOHN (MD)
Entity Type:Individual
Prefix:DR
First Name:CARTER
Middle Name:JOHN
Last Name:MAURER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8008 FROST ST
Mailing Address - Street 2:STE 106
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92123-4205
Mailing Address - Country:US
Mailing Address - Phone:858-939-5434
Mailing Address - Fax:858-939-5470
Practice Address - Street 1:8008 FROST ST
Practice Address - Street 2:STE 106
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92123-4205
Practice Address - Country:US
Practice Address - Phone:858-939-5434
Practice Address - Fax:858-939-5470
Is Sole Proprietor?:No
Enumeration Date:2006-02-14
Last Update Date:2017-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC55345207X00000X
WAMD00048857207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery