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Organization
CARPENTER MEDICAL GROUP PLLC
Active
Organization
CARPENTER MEDICAL GROUP PLLC
Active
Other names
Avalon Physician Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RACHEL MARINCH CARPENTER MD FAAFP (FOUNDER, CEO)
(719) 398-1901
Entity
Organization
Contact information
Practice address
458 MAZZINI ST, ERIE, CO 80516-2491
(719) 398-1901
Mailing address
458 MAZZINI ST, ERIE, CO 80516-2491
(281) 415-8837
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
Other
Enumeration date
08/22/2024
Last updated
06/03/2025
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