Individual
RICHARD W. PENLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1501 S POTOMAC ST, AURORA, CO 80012-5411
(303) 695-2628
(303) 306-7753
Mailing address
PO BOX 17284, DENVER, CO 80217-0284
(303) 306-7783
(303) 306-7753
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Primary
DR.0036239
CO
208000000X
Pediatrics Physician
15310
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01362391
—
CO
Enumeration date
12/22/2005
Last updated
04/27/2016
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