MR. LARRY PENWRIGHT JR., HIS

Specialist

Active Individual
NPI: 1609909142

Practice Address

703 N BROADWAY AVE
SUITE 2
Ada, OK 74820

Phone: (580) 436-3277

Specialties

Specialty Code Primary License
Specialist 174400000X Yes 595 (OK)

Frequently Asked Questions

NPI 1609909142 is the National Provider Identifier for MR. LARRY PENWRIGHT JR., HIS, a Specialist provider located in Ada, OK. This NPI was enumerated on March 13, 2007.
MR. LARRY PENWRIGHT JR., HIS practices at 703 N BROADWAY AVE, SUITE 2, Ada, OK 74820.

Quick Facts

NPI
1609909142
Type
Individual
Enumerated
Mar 13, 2007
Last Updated
Jul 8, 2007

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