Individual
DR. CARY LEE CARPENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15679 NE 23RD ST, CHOCTAW, OK 73020-8592
(405) 390-9600
Mailing address
PO BOX 10, CHOCTAW, OK 73020-0010
(405) 390-9600
(405) 390-9400
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18237
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100113820B
—
OK
Enumeration date
07/26/2005
Last updated
09/21/2025
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