# DEAN R CARPENTER MDPC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013289818
- **Authorized official:** DR. DEAN ROBERT CARPENTER M.D. (OWNER)
- **Authorized official phone:** (405) 755-9500

## Contact information

- **Practice address:** 13301 N MERIDIAN AVE, \#300A, OKLAHOMA CITY, OK 73120-9369
- **Practice address phone:** (405) 755-9500
- **Practice address fax:** (405) 752-7520
- **Mailing address:** 13301 N MERIDIAN AVE, \#300A, OKLAHOMA CITY, OK 73120-9369
- **Mailing address phone:** (405) 755-9500
- **Mailing address fax:** (405) 752-7520

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 15097 | OK | Yes |

## Other

- **Enumeration date:** 02/08/2012
- **Last updated:** 02/08/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100203540A | — | OK |
