# CARPENTER MEDICAL GROUP PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Avalon Physician Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023841244
- **Authorized official:** DR. RACHEL MARINCH CARPENTER MD FAAFP (FOUNDER, CEO)
- **Authorized official phone:** (719) 398-1901

## Contact information

- **Practice address:** 458 MAZZINI ST, ERIE, CO 80516-2491
- **Practice address phone:** (719) 398-1901
- **Mailing address:** 458 MAZZINI ST, ERIE, CO 80516-2491
- **Mailing address phone:** (281) 415-8837

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 08/22/2024
- **Last updated:** 06/03/2025