Organization
CARY CARPENTER, M.D. P.C.
Active
Other names
Choctaw Family Medicine & Aesthetics
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORRIE A CARPENTER (ADMINISTRATOR)
(405) 808-7765
Entity
Organization
Contact information
Practice address
15809 NE 23RD ST, CHOCTAW, OK 73020-8428
(405) 390-9600
(405) 390-9400
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
05
—
100113820D
—
OK
05
—
100113820E
—
OK
01
—
1053311548
NPI - CARY CARPENTER M.D.
—
01
—
1164597860
NPI - PHYSICIAN ASSISTANT BILLY SANDERS
—
01
—
1861479255
NPI-BRUCE STAFFORD, DO -
OK
01
—
1861479255
NPI - BRUCE STAFFORD, D.O.
—
05
—
200100040A
—
OK
01
—
241409404
MEDICARE INDIVIDUAL P-TAN FOR BRUCE STAFFORD, D.O.
—
01
—
249341123
MEDICARE INDIVIDUAL P-TAN - CARY CARPENTER M.D.
—
01
—
444745244-001
CARY CARPENTER -BCBS
OK
01
—
446-46-7483-001
BCBS-BRUCE STAFFORD, DO
OK
01
—
44646
BLUE LINCS - BRUCE STAFFORD, DO
OK
01
—
900522085
MEDICARE GROUP P-TAN --CARY CARPENTER MD PC DBA CHOCTAW FAMILY MEDICINE
—
01
—
F43282
MEDICARE UPIN - CARY CARPENTER M.D.
—
01
—
I00757
MEDICARE UPIN - BRUCE STAFFORD, D.O.
—
Enumeration date
10/16/2006
Last updated
02/21/2022
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