Individual provider · Type 1 NPI

Ovidio Moises Penalver, MD, PS

Specialist · Puyallup, WA

NPI number 1457357964 Active

Practice location

319 5th St SW
Puyallup, WA 98371-5828

Call (253) 848-0351 Map

Fax (253) 841-1397

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XMD00015660 (WA)

Specialist: 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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About NPI 1457357964

Ovidio Moises Penalver, MD, PS's National Provider Identifier is 1457357964, issued on Jun 21, 2005. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Puyallup, WA. The record was last updated on Jul 13, 2026.