Individual provider · Type 1 NPI

Larry Paul Penwright Jr., HIS

Specialist · Ada, OK

NPI number 1609909142 Active

Practice location

703 N Broadway Ave, Suite 2
Ada, OK 74820-3457

Call (580) 436-3277 Map

Fax (580) 436-5046

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X595 (OK)

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 1609909142

Larry Paul Penwright Jr., HIS's National Provider Identifier is 1609909142, issued on Mar 13, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Ada, OK. The record was last updated on Jul 8, 2007.