Carpenter Clinic Pllc

NPI #1497186357 in Ada, Oklahoma

Provider Information

NPI Number: 1497186357
Entity Type: Organization
Organization Name: Carpenter Clinic Pllc
Primary Specialty: Family Medicine
Enumeration Date: Dec 3, 2013
Last Updated: Jul 7, 2014

Practice Location

Address: 201 N MONTE VISTA ST
Address 2: STE A
City: Ada
State: Oklahoma
ZIP Code: 74820-7213
Phone: (580) 332-4418

Authorized Official

Name: DR. JO ANN CARPENTER, MD
Title: OWNER
Phone: (580) 332-4418

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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