Individual
ROBERT G PENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8111 DODGE ST, SUITE 363, OMAHA, NE 68114-4129
(402) 354-8155
(402) 354-8159
Mailing address
8111 DODGE ST, SUITE 363, OMAHA, NE 68114-4129
(402) 354-8155
(402) 354-8159
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
13129
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01565
BCBS
NE
05
—
0923557
—
IA
05
—
202111902
—
MO
Enumeration date
07/20/2006
Last updated
12/13/2013
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