Michael R. Penney OD

NPI 1487752044 - Optometrist - 152W00000X

NPI Details
NPI 1487752044
Gender Male
Enumeration Date 09/20/2006
Last Updated 03/10/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
3061 N WESTWOOD BLVD
POPLAR BLUFF MO, 63901-8658, US
Phone (573) 785-1442
Fax (573) 776-6024
Business Location
3061 N WESTWOOD BLVD
POPLAR BLUFF MO, 63901-8658, US
Phone (573) 785-1442
Fax (573) 776-6024
Toxanomy
Taxonomy Code 152W00000X
License State Missouri
License Number T02754
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According to our database, Dr. Michael R. Penney OD NPI is 1487752044, taxonomy code is 152W00000X and license number is T02754, license state is located at Missouri. Michael R. Penney OD physically located at 3061 N Westwood Blvd, Poplar Bluff MO, 63901-8658. NPI Number Michael R. Penney OD has the Individual type.

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1487752044 NPI number is provided on an as is basis without warranty of any kind. 1487752044 is maintained by the National Plan & Provider Enumeration System. The contents of Michael R. Penney OD are for informational purposes only.