| Doctor Name: | DR. THOMAS JOSEPH CARTER |
| NPI Number: | 1649464439 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DO, PHD |
| License Number: | O0873 |
| Business Practice Address: | 217 Cedar St # 32 Sandpoint, ID - 838641410 |
| Business Phone Number: | 7196510024 |
| Business Fax Number: | |
| Mailing Address: | 217 Cedar St # 32, SANDPOINT |
| State: | ID |
| Postal Code: | 838641410 |
| Phone Number: | 7196510024 |
| Fax Number: | |
| NPI Enumeration Date: | 09/05/2007 |
| NPI Last Update Date: | 10/13/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | O0873 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ID |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |