Individual
NATHALIE AURORA PENA POLANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
788 8TH AVE SE STE 300, CEDAR RAPIDS, IA 52401-2106
(319) 369-4542
(319) 369-4543
Mailing address
788 8TH AVE SE STE 300, CEDAR RAPIDS, IA 52401-2106
(319) 369-4542
(319) 369-4543
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD-49249
IA
390200000X
Student in an Organized Health Care Education/Training Program
19794
FL
390200000X
Student in an Organized Health Care Education/Training Program
MT222729
PA
Other
Enumeration date
07/05/2014
Last updated
07/08/2022
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