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MR. MICHAEL LEE CARPENTER PA-C

>> Physician Assistant >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1750362588

Individual Registrant:
MR. MICHAEL LEE CARPENTER PA-C
Gender: M
Not Sole Proprietor

Location and contact information for practice:
1121 WASHINGTON AVE  NEWCASTLE, WY 82701 US
Tel: 307-746-3582  Fax: --

Contact information for business:
353 FAIRMONT BLVD ATTEN CHRISTIE MSS RAPID CITY, SD 57701-7350 US
Tel: --  Fax: --

Registration Information:
NPI: 1750362588
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363A00000XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
WY097

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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