Individual provider · Type 1 NPI

Tara Carpenter

Surgical Physician Assistant · St. George, UT

NPI number 1770108979 Active

Practice location

1380 E Medical Center Dr Ste 2100
St. George, UT 84790-2129

Call (435) 251-3250 Map

Mailing address

1630 E 2450 S Unit 63
St. George, UT 84790-6993

Other practice locations

  • 1630 E 2450 S Unit 63, St. George, UT 84790-6993 · (801) 783-9485

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X12460765-1206 (UT)

Surgical Physician Assistant: Definition to come...

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About NPI 1770108979

Tara Carpenter's National Provider Identifier is 1770108979, issued on Jun 12, 2020. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in St. George, UT. The record was last updated on May 8, 2025.