Individual
DR. RYAN JOSEPH CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
81 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1125
(801) 213-3599
Mailing address
81 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1125
(801) 213-3599
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
000
UT
208000000X
Pediatrics Physician
A148451
CA
2080N0001X
Neonatal-Perinatal Medicine Physician
000
UT
2080P0202X
Pediatric Cardiology Physician
Primary
13353078-1205
UT
Other
Enumeration date
03/15/2018
Last updated
10/05/2023
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