Individual
DR. CRAIG MICHAEL CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1433 N 1075 W STE 104, FARMINGTON, UT 84025-2746
(801) 298-1300
(801) 296-6199
Mailing address
PO BOX 25488, SALT LAKE CITY, UT 84125-0488
(800) 475-3698
(801) 296-6199
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
166676-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003637600
—
ID
05
—
06777
—
UT
05
—
120728800
—
WY
05
—
926975
—
AZ
01
—
P00205419
RR MEDICARE
UT
01
—
P00651520
RR MEDICARE
UT
Enumeration date
07/12/2005
Last updated
02/26/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us