Individual
DR. JEFFREY S CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 STADIUM DR, MORGANTOWN, WV 26506-7911
(304) 598-4000
Mailing address
PO BOX 897, MORGANTOWN, WV 26507-0897
(304) 293-7401
(304) 293-6963
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
20184
WV
2085R0202X
Diagnostic Radiology Physician
Primary
20184
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018095050001
—
PA
05
—
007232659
—
VA
05
—
1801063000
—
WV
05
—
2205929
—
OH
05
—
64048218
—
KY
05
—
843301100
—
MD
Enumeration date
03/23/2006
Last updated
04/08/2022
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