| Larry Renn Carpenter, PA-C | |
|
100 3rd St Ste 1, Davenport, WA 99122-5008 | |
| (509) 725-7501 | |
| (509) 725-7501 |
| Full Name | Larry Renn Carpenter |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 100 3rd St Ste 1, Davenport, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912982901 | NPI | - | NPPES |
| 2005809 | Medicaid | WA | |
| 295800 | Other | WA | WASHINGTON STATE DEPT OF LABOR & INDUSTRIES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA60136165 (Washington) | Secondary |
| 363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Larry Renn Carpenter, PA-C 100 3rd St Ste 1, Davenport, WA 99122-5008 Ph: (509) 725-7501 | Larry Renn Carpenter, PA-C 100 3rd St Ste 1, Davenport, WA 99122-5008 Ph: (509) 725-7501 |
Cari R Rodgers, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10 Nicholls St, Davenport, WA 99122 Phone: 509-725-7501 Fax: 509-725-7504 | |
Tyler W. Zaugg, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 100 3rd St Ste 1, Davenport, WA 99122 Phone: 509-725-7501 | |
Christine M. Seyler, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 100 3rd St, Suite 1, Davenport, WA 99122 Phone: 509-725-7501 Fax: 509-725-7504 |