Individual provider · Type 1 NPI
Larry Renn Carpenter, PA-C
Medical Physician Assistant · Davenport, WA
NPI number
1912982901
Active
Practice location
100 3rd St Ste 1
Davenport, WA 99122-5008
Fax (509) 725-7501
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | PA60136165 (WA) |
| Medical Physician Assistant Primary | 363AM0700X | None listed |
Medical Physician Assistant: Definition to come...
Other medical physician assistant providers in Davenport
About NPI 1912982901
Larry Renn Carpenter, PA-C's National Provider Identifier is 1912982901, issued on Dec 13, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Davenport, WA. The record was last updated on Mar 23, 2020.