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Individual
DR. MICHAEL JASON PENROD
Active
Individual
DR. MICHAEL JASON PENROD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5755109-1205
UT
Other
Enumeration date
05/20/2006
Last updated
11/11/2021
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