Gregorius Resuma Penilla M.D.

NPI 1023024973 - Internal Medicine - 207R00000X

NPI Details
NPI 1023024973
Gender Male
Enumeration Date 07/31/2006
Last Updated 10/18/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
14309 MANCHESTER RD
MANCHESTER MO, 63011-4050, US
Phone (636) 227-8880
Fax (636) 227-8890
Business Location
14309 MANCHESTER RD
MANCHESTER MO, 63011-4050, US
Phone (636) 227-8880
Fax (636) 227-8890
Toxanomy
Taxonomy Code 207R00000X
License State Missouri
License Number 36678
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According to our database, Dr. Gregorius Resuma Penilla M.D. NPI is 1023024973, taxonomy code is 207R00000X and license number is 36678, license state is located at Missouri. Gregorius Resuma Penilla M.D. physically located at 14309 Manchester Rd, Manchester MO, 63011-4050. NPI Number Gregorius Resuma Penilla M.D. has the Individual type.

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1023024973 NPI number is provided on an as is basis without warranty of any kind. 1023024973 is maintained by the National Plan & Provider Enumeration System. The contents of Gregorius Resuma Penilla M.D. are for informational purposes only.