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Individual
DR. ERIK PENNER
Active
Individual
DR. ERIK PENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD00040914
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
159161
WA L & I
—
05
—
286778
—
OR
05
—
8312290
—
WA
01
—
8936736
WA CRIME VICTIMS
—
01
—
9117PE
REGENCE BS
—
01
—
A020
CHAMPUS
—
01
—
H58078
GROUP HEALTH
—
01
—
P00010657
RAILROAD
—
Enumeration date
06/21/2006
Last updated
11/27/2007
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