Individual
MR. ANDREW SAM CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5121 S COTTONWOOD ST, MURRAY, UT 84107-5701
(801) 408-6220
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 408-6220
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
8771441-1205
UT
208M00000X
Hospitalist Physician
Primary
8771441-1205
UT
Other
Enumeration date
03/27/2012
Last updated
05/12/2017
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