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Dr. Ovidio Moises Penalver, MD,PS
Specialist in Puyallup, Washington
NPI 1457357964

Ovidio Moises Penalver is a Specialist based in Puyallup, WA. Ovidio Moises Penalver practices in Puyallup, WA and has the professional credentials of MD,PS. The NPI Number for Ovidio Moises Penalver is 1457357964 and holds a License No. MD00015660 (Washington).

The current practice location address for Ovidio Moises Penalver is 319 5Th St Sw, Puyallup, WA and can be reached out via phone at 253-848-0351 and via fax at 253-841-1397.

Location: 319 5Th St Sw, Puyallup, WA, 98371-5828
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457357964
Provider Name
Ovidio Moises Penalver
Credential
MD,PS
Provider Entity Type
Individual
Gender
Male
Address
319 5Th St Sw, Puyallup, WA, 98371-5828
Phone Number
253-848-0351
Fax Number
253-841-1397
Provider Enumeration Date
06/21/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7110653 05 WA
institution
Provider Business Practice Location Address Details
Address
319 5Th St Sw
City
Puyallup
State
Washington
Zip
98371-5828
Phone Number
253-848-0351
Fax Number
253-841-1397
person
Provider Business Mailing Address Details
Address
319 5Th St Sw
City
Puyallup
State
Washington
Zip
98371-5828
Phone Number
253-848-0351
Fax Number
253-841-1397
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
MD00015660 (Washington)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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