Individual
DR. PAUL L CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4520 W 69TH ST, SIOUX FALLS, SD 57108-8148
(605) 977-5000
(605) 977-5377
Mailing address
PO BOX 5009, SIOUX FALLS, SD 57117-5009
(605) 977-5000
(605) 977-5377
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
2519
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0017218
SD BCBS
SD
05
—
1107466
—
IA
01
—
168089
UCARE
MN
01
—
24679
HEALTH PARTNERS
—
01
—
2519
DAKOTACARE
SD
01
—
538R6CA
MN BCBS - PLAN 538R2NO
MN
01
—
53988
IA BCBS
IA
05
—
6000840
—
SD
01
—
91062CA
MN BCBS - PLAN 91057NO
MN
01
—
931451029031
PREFERRED ONE
—
Enumeration date
05/01/2006
Last updated
03/24/2008
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