Individual provider · Type 1 NPI
Brian K. Penrose, DPM
Foot & Ankle Surgery Podiatrist · Logan, UT
NPI number
1437508116
Active
Practice location
1350 N 500 E
Logan, UT 84341-2400
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 07001313A (IN) |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 13232441-0501 (UT) |
Foot & Ankle Surgery Podiatrist: Definition to come...
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About NPI 1437508116
Brian K. Penrose, DPM's National Provider Identifier is 1437508116, issued on Jun 3, 2016. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Logan, UT. The record was last updated on Jun 20, 2023.