Individual
DR. SAMUEL C CARPENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
304 S LAKE ST, STE 104, FARMINGTON, NM 87401-5659
(505) 327-3338
(505) 566-9213
Mailing address
304 S LAKE ST, STE 104, FARMINGTON, NM 87401-5659
(505) 327-3338
(505) 566-9213
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
171
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
55640
—
NM
Enumeration date
08/17/2006
Last updated
04/13/2014
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