institution
Brent Penland Md P.c.
Primary Care Clinic/Center in Lone Tree, Colorado
NPI 1962691519

Brent Penland Md P.c. is a Primary Care Clinic/Center based in Lone Tree, CO and is specialized in Primary Care. Brent Penland Md P.c. practices in Lone Tree, CO. The NPI Number for Brent Penland Md P.c. is 1962691519 and holds a License No. 34221 (Colorado).

The current practice location address for Brent Penland Md P.c. is 10099 Ridgegate Pkwy, Lone Tree, CO and can be reached out via phone at 303-790-4556 and via fax at 303-790-4552.

Location: 10099 Ridgegate Pkwy, Lone Tree, CO, 80124-5531
institution
Provider Profile Details
NPI Number
1962691519
Provider Name
Brent Penland Md P.c.
Credential
Provider Entity Type
Organization
Address
10099 Ridgegate Pkwy, Lone Tree, CO, 80124-5531
Phone Number
303-790-4556
Fax Number
303-790-4552
Provider Enumeration Date
10/19/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01342211 05 CO
34221 01 CO STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
10099 Ridgegate Pkwy
City
State
Zip
80124-5531
Phone Number
303-790-4556
Fax Number
303-790-4552
person
Provider Business Mailing Address Details
Address
10099 Ridgegate Pkwy
City
State
Zip
80124-5531
Phone Number
303-790-4556
Fax Number
303-790-4552
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
34221 (Colorado)
Definition
Definition to come...
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