Individual
STEPHEN PATRICK PENOR
Active
Individual
STEPHEN PATRICK PENOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
E3410
AR
2085N0904X
Nuclear Radiology Physician
E-3410
AR
2085R0202X
Diagnostic Radiology Physician
Primary
E-3410
AR
2085R0202X
Diagnostic Radiology Physician
V7274
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
157515001
—
AR
01
—
E3410
STATE LICENSE
AR
Enumeration date
10/26/2005
Last updated
04/03/2025
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