David L Penner M.D.

NPI 1144546748 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1144546748
Gender Male
Enumeration Date 04/08/2010
Last Updated 06/11/2015
Entity Type Individual
Active Over 6 years ago
Practice Location
2315 STOCKTON BLVD
SUITE OP 512 PAVILION
SACRAMENTO CA, 95817-2201, US
Phone (916) 734-2726
Fax
Business Location
2315 STOCKTON BLVD
SUITE OP 512 PAVILION
SACRAMENTO CA, 95817-2201, US
Phone (916) 734-2726
Fax
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, David L Penner M.D. NPI is 1144546748, taxonomy code is 390200000X David L Penner M.D. physically located at 2315 Stockton Blvd, Sacramento CA, 95817-2201. NPI Number David L Penner M.D. has the Individual type.

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1144546748 NPI number is provided on an as is basis without warranty of any kind. 1144546748 is maintained by the National Plan & Provider Enumeration System. The contents of David L Penner M.D. are for informational purposes only.