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Organization

SAMUEL C. CARPENTER, DPMPC

Active
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Organization

SAMUEL C. CARPENTER, DPMPC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SAMUEL CARPENTER D.P.M. (OWNER)
(505) 327-3338
Entity
Organization

Contact information

Practice address
4801 N BUTLER AVE, SUITE 9102, FARMINGTON, NM 87401-6002
(505) 327-3338
(505) 566-9213
Mailing address
4801 N BUTLER AVE, SUITE 9102, FARMINGTON, NM 87401-6002
(505) 327-3338
(505) 566-9213

Taxonomy

Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
171
NM

Other

Enumeration date
05/08/2007
Last updated
02/21/2008
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