Individual
MR. DOUGLAS OREN CARPENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, ATC
Contact information
Practice address
801 5TH AVE, NEW BRIGHTON, PA 15066-1929
(724) 847-1200
Mailing address
1107 WASHINGTON AVE, MONACA, PA 15061-2041
(724) 728-2319
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT003410
PA
Other
Enumeration date
07/06/2006
Last updated
07/08/2007
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