Individual
GREGORY LOUIS CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
145 HOSPITAL AVE, SUITE 311, DU BOIS, PA 15801-1462
(814) 375-3750
(814) 375-9624
Mailing address
100 HOSPITAL AVE, ATTN: DRMC BUSINESS OFFICE, DU BOIS, PA 15801-1440
(814) 375-3750
(814) 375-9624
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA053768
PA
363A00000X
Physician Assistant
OA000708
PA
Other
Enumeration date
12/05/2008
Last updated
10/31/2011
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