Individual
MR. MICHAEL JAMES CARPENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
502 ELM ST NE, ALBUQUERQUE, NM 87102-2512
(505) 841-1000
(505) 843-2853
Mailing address
PO BOX 8387, ALBUQUERQUE, NM 87198-8387
(505) 843-2837
(505) 843-2956
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2010-0028
NM
363A00000X
Physician Assistant
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Other
Enumeration date
01/09/2010
Last updated
03/21/2013
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