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Individual
RANDALL K. CARPENTER
Active
Individual
RANDALL K. CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01020756A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000376732
ANTHEM
IN
05
—
100262990
—
IN
01
—
1152
PHYSICIANS HEALTH PLAN
IN
01
—
P00262546
RAILROAD MEDICARE
IN
Enumeration date
12/22/2005
Last updated
03/19/2013
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