Provider Demographics
NPI:1033146832
Name:CARPENTER, STEPHEN L (MD)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:L
Last Name:CARPENTER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:13205 SPRINGCREEK CT
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73170-1448
Mailing Address - Country:US
Mailing Address - Phone:405-703-2935
Mailing Address - Fax:
Practice Address - Street 1:6700 S MACARTHUR BLVD
Practice Address - Street 2:CAMI BUILDING ROOM B-13
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73169-6907
Practice Address - Country:US
Practice Address - Phone:405-954-3341
Practice Address - Fax:405-954-3345
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OK117792083A0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083A0100XAllopathic & Osteopathic PhysiciansPreventive MedicineAerospace Medicine