Provider Demographics
NPI:1457078727
Name:MCCARTER, GARRETT WILLIAM (DC)
Entity Type:Individual
Prefix:
First Name:GARRETT
Middle Name:WILLIAM
Last Name:MCCARTER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2970 N SWAN RD STE 221
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85712-6023
Mailing Address - Country:US
Mailing Address - Phone:520-344-4436
Mailing Address - Fax:
Practice Address - Street 1:2970 N SWAN RD STE 221
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712-6023
Practice Address - Country:US
Practice Address - Phone:520-344-4436
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-26
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ9233111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor