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Organization
B.L. CARPENTER, M.D. CLINIC, PLLC
Active
Organization
B.L. CARPENTER, M.D. CLINIC, PLLC
Active
Other names
B.L. Carpenter, M.D.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BYRON LEE CARPENTER M.D. (OWNER/SOLE PROPRIATOR)
(580) 623-7444
Entity
Organization
Contact information
Practice address
203 N WEIGLE AVE, WATONGA, OK 73772-3840
(580) 623-7444
(580) 623-7447
Mailing address
203 N WEIGLE AVE, WATONGA, OK 73772-3840
(580) 623-7444
(580) 623-7447
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21320
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100230090A
—
OK
Enumeration date
05/02/2008
Last updated
05/02/2008
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