Individual
JEFFREY FREEMAN PENNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
141 SOUTH MCCORMICK, SUITE 200, PRESCOTT, AZ 86303-4731
(928) 445-8400
(928) 776-0208
Mailing address
141 SOUTH MCCORMICK, SUITE 200, PRESCOTT, AZ 86303-4731
(928) 445-8400
(928) 776-0208
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
AZ 18707
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
294372
—
AZ
Enumeration date
11/02/2006
Last updated
08/22/2010
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