Individual
DR. STEPHANIE J CARPINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4301 GREATHOUSE SPRINGS RD, JOHNSON, AR 72762
(479) 684-3000
Mailing address
2 CAWDOR LN, BELLA VISTA, AR 72715-4511
(816) 885-2147
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD112093
MO
207V00000X
Obstetrics & Gynecology Physician
Primary
E9955
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
160038214
MEDICARE RR
MO
01
—
24399010
BCBS
MO
Enumeration date
06/01/2005
Last updated
11/07/2024
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