Scott Thomas Penisten M.D.

NPI 1063404416 - Anesthesiology - 207L00000X

NPI Details
NPI 1063404416
Gender Male
Enumeration Date 08/20/2005
Last Updated 08/07/2012
Entity Type Individual
Active Over 11 years ago
Practice Location
1105 N ANKENY BLVD STE 100
ANKENY IA, 50023-4003, US
Phone (515) 964-4600
Fax (515) 963-4142
Business Location
1105 N ANKENY BLVD STE 100
ANKENY IA, 50023-4003, US
Phone (515) 964-4600
Fax (515) 963-4142
Toxanomy
Taxonomy Code 207L00000X
License State Iowa
License Number 35361
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According to our database, Dr. Scott Thomas Penisten M.D. NPI is 1063404416, taxonomy code is 207L00000X and license number is 35361, license state is located at Iowa. Scott Thomas Penisten M.D. physically located at 1105 N Ankeny Blvd Ste 100, Ankeny IA, 50023-4003. NPI Number Scott Thomas Penisten M.D. has the Individual type.

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1063404416 NPI number is provided on an as is basis without warranty of any kind. 1063404416 is maintained by the National Plan & Provider Enumeration System. The contents of Scott Thomas Penisten M.D. are for informational purposes only.