institution
Penny R. Vandestreek Do, Inc.
Nuclear Imaging & Therapy Physician in Roseville, California
NPI 1558540526

Penny R. Vandestreek Do, Inc. is a Nuclear Imaging & Therapy Physician based in Rocklin, CA and is specialized in Nuclear Imaging & Therapy. Penny R. Vandestreek Do, Inc. practices in Roseville, CA. The NPI Number for Penny R. Vandestreek Do, Inc. is 1558540526 and holds a License No. 20A6232 (California).

The current practice location address for Penny R. Vandestreek Do, Inc. is 1 Medical Plaza Dr, Roseville, CA and can be reached out via phone at 916-781-1292 and via fax at 916-663-9912.

Location: 1 Medical Plaza Dr, Roseville, CA, 95677-7328
institution
Provider Profile Details
NPI Number
1558540526
Provider Name
Penny R. Vandestreek Do, Inc.
Credential
Provider Entity Type
Organization
Address
1 Medical Plaza Dr, Roseville, CA, 95677-7328
Phone Number
916-781-1292
Fax Number
916-663-9912
Provider Enumeration Date
10/26/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00AX62320 05 CA
P00017739 01 RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
1 Medical Plaza Dr
City
State
Zip
95661-3037
Phone Number
916-781-1292
Fax Number
916-663-9912
person
Provider Business Mailing Address Details
Address
1 Medical Plaza Dr
City
State
Zip
95661-3037
Phone Number
916-781-1292
Fax Number
916-663-9912
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Nuclear Medicine
Speciality
Nuclear Imaging & Therapy
Taxonomy
License No.
20A6232 (California)
Definition
A nuclear medicine physician who specializes in nuclear imaging and therapy.
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