Individual
JEANETTE RUTH CARPENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
30 N 1900 E RM 2B200, SALT LAKE CITY, UT 84132-0002
(919) 699-3972
Mailing address
30 N 1900 E RM 2B200, SALT LAKE CITY, UT 84132-0002
(919) 699-3972
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
122286
NC
207VM0101X
Maternal & Fetal Medicine Physician
Primary
7299867-1205
UT
Other
Enumeration date
05/01/2008
Last updated
04/29/2014
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