Organization
B.L. CARPENTER, M.D. CLINIC, PLLC
Active
Other names
B.L. Carpenter, M.D.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BYRON LEE CARPENTER M.D. (OWNER/SOLE PROPRIATOR)
(580) 623-7444
Entity
Organization
Contact information
Practice address
203 N WEIGLE AVE, WATONGA, OK 73772-3840
(580) 623-7444
(580) 623-7447
Mailing address
203 N WEIGLE AVE, WATONGA, OK 73772-3840
(580) 623-7444
(580) 623-7447
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21320
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100230090A
—
OK
Enumeration date
05/02/2008
Last updated
05/02/2008
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