Josiah Moises Penalver MD

NPI 1669662417 - Pediatrics - 2080P0202X

NPI Details
NPI 1669662417
Gender Male
Enumeration Date 07/27/2007
Last Updated 09/06/2013
Entity Type Individual
Active Over 9 years ago
Practice Location
1901 S CEDAR ST STE 103
TACOMA WA, 98405-2302, US
Phone (253) 272-1812
Fax
Business Location
1515 DOCK ST UNIT 204
TACOMA WA, 98402-3254, US
Phone (646) 784-4370
Fax
Toxanomy
Taxonomy Code 2080P0202X
License State Washington
License Number 60361918
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According to our database, Dr. Josiah Moises Penalver MD NPI is 1669662417, taxonomy code is 2080P0202X and license number is 60361918, license state is located at Washington. Josiah Moises Penalver MD physically located at 1901 S Cedar St Ste 103, Tacoma WA, 98405-2302. NPI Number Josiah Moises Penalver MD has the Individual type.

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1669662417 NPI number is provided on an as is basis without warranty of any kind. 1669662417 is maintained by the National Plan & Provider Enumeration System. The contents of Josiah Moises Penalver MD are for informational purposes only.