Individual
TARA CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1380 E MEDICAL CENTER DR STE 2100, ST GEORGE, UT 84790-2129
(435) 251-3250
Mailing address
1630 E 2450 S UNIT 63, ST GEORGE, UT 84790-6993
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
12460765-1206
UT
Other
Enumeration date
06/12/2020
Last updated
05/08/2025
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