NATHAN ISAAC CARPENTER

PUEBLO, CO
NPI1477956258
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CO  PA.0004099)
Enumeration Date2014-10-07
Last Update Date2016-03-02
Business Address
-- NATHAN ISAAC CARPENTER PA
110 E ROUTT AVE
PUEBLO, CO 81004-2117
Phone number: 719-543-8711
Mailing Address
-- NATHAN ISAAC CARPENTER PA
110 E ROUTT AVE
PUEBLO, CO 81004-2117
Phone number: 719-543-8711