NICHOLAS PENNER, M.D.

Student in an Organized Health Care Education/Training Program

Active Individual
NPI: 1104158104

Practice Address

402 DICKINSON ST
SUITE 380
San Diego, CA 92103

Phone: (619) 543-6529

Specialties

Specialty Code Primary License
Student in an Organized Health Care Education/Training Program 390200000X Yes -

Frequently Asked Questions

NPI 1104158104 is the National Provider Identifier for NICHOLAS PENNER, M.D., a Student in an Organized Health Care Education/Training Program provider located in San Diego, CA. This NPI was enumerated on February 2, 2010.
NICHOLAS PENNER, M.D. practices at 402 DICKINSON ST, SUITE 380, San Diego, CA 92103.

Quick Facts

NPI
1104158104
Type
Individual
Enumerated
Feb 2, 2010
Last Updated
Feb 2, 2010

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