| Carpenter Clinic Pllc | |
|
201 N Monte Vista St Ste A Ada OK 74820-7213 | |
| (580) 332-4418 | |
| (580) 332-0324 |
| Full Name | Carpenter Clinic Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 201 N Monte Vista St, Ada, Oklahoma |
| Authorized Official Name and Position | Jo Ann Carpenter (OWNER) |
| Authorized Official Contact | 5803324418 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carpenter Clinic Pllc 201 N Monte Vista St Ste A Ada OK 74820-7220 Ph: (580) 332-4418 | Carpenter Clinic Pllc 201 N Monte Vista St Ste A Ada OK 74820-7213 Ph: (580) 332-4418 |
| NPI Number | 1497186357 |
|---|---|
| Provider Enumeration Date | 12/03/2013 |
| Last Update Date | 07/07/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497186357 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 11778 (Oklahoma) | Primary |
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