Matthew Trent Carpenter MD

NPI 1043298334 - Radiology - 2085R0001X

NPI Details
NPI 1043298334
Gender Male
Enumeration Date 01/06/2006
Last Updated 01/13/2011
Entity Type Individual
Active Over 11 years ago
Practice Location
221 NE GLEN OAK AVE
DEPARTMENT OF RADIATION ONCOLOGY
PEORIA IL, 61636-0001, US
Phone (309) 672-5700
Fax (309) 671-2774
Business Location
221 NE GLEN OAK AVE
DEPARTMENT OF RADIATION ONCOLOGY
PEORIA IL, 61636-0001, US
Phone (309) 672-5700
Fax (309) 671-2774
Toxanomy
Taxonomy Code 2085R0001X
License State Texas
License Number M2918
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According to our database, Dr. Matthew Trent Carpenter MD NPI is 1043298334, taxonomy code is 2085R0001X and license number is M2918, license state is located at Texas. Matthew Trent Carpenter MD physically located at 221 Ne Glen Oak Ave, Peoria IL, 61636-0001. NPI Number Matthew Trent Carpenter MD has the Individual type.

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1043298334 NPI number is provided on an as is basis without warranty of any kind. 1043298334 is maintained by the National Plan & Provider Enumeration System. The contents of Matthew Trent Carpenter MD are for informational purposes only.