Individual
JACK W. CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
2825 8TH AVE N, BILLINGS, MT 59101-0909
(406) 238-2500
Mailing address
PO BOX 37000, BILLINGS, MT 59107-7000
(406) 238-2500
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
454
MT
Other
Enumeration date
05/11/2006
Last updated
09/11/2007
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