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Contact Information

DEREK B CARPENTER, PA-C
865 N ARIZOLA RD
CASA GRANDE, AZ85122
 Phone: 520-836-3446
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for DEREK B CARPENTER · (Male)

NPI Number 1114320959
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 10/08/2014
Last updated 05/18/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # 5816
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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