Larry Renn Carpenter, PA-C
NPI #1912982901 in Davenport, Washington
Provider Information
- NPI Number
- 1912982901
- Entity Type
- Individual
- Name
- Larry Renn Carpenter, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA-C
- Enumeration Date
- Dec 13, 2005
- Last Updated
- Mar 23, 2020
Practice Location
- Address
- 100 3RD ST STE 1
- City
- Davenport
- State
- Washington
- ZIP Code
- 99122-5008
- Phone
- (509) 725-7501
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
| Physician Assistant - Medical — Medical |
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