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Individual

DR. SCOTT A. CARPENTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
1000 BRADY ST, DAVENPORT, IA 52803-5214
(563) 884-5801
Mailing address
3009 OAK STREET CT, BETTENDORF, IA 52722-4525
(563) 505-3788

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
06339
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
35417
BLUE CROSS BLUE SHIELD
IA
Enumeration date
08/03/2005
Last updated
03/06/2014
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