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Mr. Larry Paul Penwright JR., HIS
Specialist in Ada, Oklahoma
NPI 1609909142

Larry Paul Penwright JR. is a Specialist based in Ada, OK. Larry Paul Penwright JR. practices in Ada, OK and has the professional credentials of HIS. The NPI Number for Larry Paul Penwright JR. is 1609909142 and holds a License No. 595 (Oklahoma).

The current practice location address for Larry Paul Penwright JR. is 703 N Broadway Ave, Ada, OK and can be reached out via phone at 580-436-3277 and via fax at 580-436-5046.

Location: 703 N Broadway Ave, Ada, OK, 74820-3457
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609909142
Provider Name
Larry Paul Penwright JR.
Credential
HIS
Provider Entity Type
Individual
Gender
Male
Address
703 N Broadway Ave, Ada, OK, 74820-3457
Phone Number
580-436-3277
Fax Number
580-436-5046
Provider Enumeration Date
03/13/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
703 N Broadway Ave
City
Ada
State
Oklahoma
Zip
74820-3457
Phone Number
580-436-3277
Fax Number
580-436-5046
person
Provider Business Mailing Address Details
Address
703 N Broadway Ave
City
Ada
State
Oklahoma
Zip
74820-3457
Phone Number
580-436-3277
Fax Number
580-436-5046
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
595 (Oklahoma)
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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