Individual
ROBERT WALTER CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2121 N 1700 W, LAYTON, UT 84041-8803
(801) 773-4840
(801) 525-8151
Mailing address
PO BOX 337, LAYTON, UT 84041-0337
(801) 773-4840
(801) 525-8151
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9573353-1206
UT
363A00000X
Physician Assistant
Primary
PT869
WY
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Enumeration date
09/07/2018
Last updated
03/10/2026
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