Individual
DR. DUSTIN CHARLES CARPENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
514 STATE ST, MOUND CITY, MO 64470-1145
(660) 686-2329
(660) 686-2799
Mailing address
909 N 6TH ST, TARKIO, MO 64491-1119
(816) 309-8028
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
6444
NE
Other
Enumeration date
07/15/2011
Last updated
07/22/2014
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