Organization
CARPENTER CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JO ANN CARPENTER MD (OWNER)
(580) 332-4418
Entity
Organization
Contact information
Practice address
201 N MONTE VISTA ST, STE A, ADA, OK 74820-7213
(580) 332-4418
(580) 332-0324
Mailing address
201 N MONTE VISTA ST STE A, ADA, OK 74820-7220
(580) 332-4418
(580) 332-0324
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11778
OK
Other
Enumeration date
12/03/2013
Last updated
07/07/2014
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