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Individual

SARAH JANE CARPENTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2355 N WYATT DR STE 101, TUCSON, AZ 85712-2120
(520) 616-4948
(520) 616-4958
Mailing address
PO BOX 188, MARANA, AZ 85653-0188
(520) 616-4948
(520) 616-4958

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
46509
AZ
207Q00000X
Family Medicine Physician
A71582
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
932042
AZ
Enumeration date
04/23/2008
Last updated
01/04/2023
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