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NPI Code Detail

MEDICARE: RHETT DACY CARPENTER-THOMPSON MD

MEDICARE: RHETT DACY CARPENTER-THOMPSON MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0202XDiagnostic Radiology Physician74787MN
22085R0202XDiagnostic Radiology Physician23122ND
3390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1598414633
Entity Type Code : Individual
Provider Name (Legal Business Name) : RHETT DACY CARPENTER-THOMPSON MD
Provider Business Mailing Address
First Line : 1216 2ND ST SW
Second Line :
City : ROCHESTER
State : MN
Zip : 55902-1906
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1216 2ND ST SW
Second Line :
City : ROCHESTER
State : MN
Zip : 55902-1906
Country : US
Telephone Number : 507-293-3619
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2022
Last Update Date : 01/12/2026

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Directions to “ RHETT DACY CARPENTER-THOMPSON MD” Practice Location

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