Individual
DEREK B CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
865 N ARIZOLA RD, CASA GRANDE, AZ 85122
(520) 836-3446
Mailing address
PO BOX 10097, CASA GRANDE, AZ 85130-0020
(520) 350-7651
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5816
AZ
Other
Enumeration date
10/08/2014
Last updated
05/18/2018
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