John Paul Penkert PMHMP

NPI 1336202654 - Nurse Practitioner - 363LP0808X

NPI Details
NPI 1336202654
Gender Male
Enumeration Date 12/18/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
8495 CRATER LAKE HWY
WHITE CITY OR, 97503-3011, US
Phone (541) 826-2111
Fax
Business Location
2050 ANDOVER WAY
MEDFORD OR, 97501-4204, US
Phone (541) 772-7182
Fax
Toxanomy
Taxonomy Code 363LP0808X
License State
License Number
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According to our database, Mr. John Paul Penkert PMHMP NPI is 1336202654, taxonomy code is 363LP0808X John Paul Penkert PMHMP physically located at 8495 Crater Lake Hwy, White City OR, 97503-3011. NPI Number John Paul Penkert PMHMP has the Individual type.

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1336202654 NPI number is provided on an as is basis without warranty of any kind. 1336202654 is maintained by the National Plan & Provider Enumeration System. The contents of John Paul Penkert PMHMP are for informational purposes only.