Individual
STEPHANIE PENIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
344 UNIVERSITY BLVD W, SILVER SPRING, MD 20901-1948
(202) 483-8196
Mailing address
344 UNIVERSITY BLVD W, SILVER SPRING, MD 20901-1948
(202) 483-8196
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D0099942
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/24/2021
Last updated
06/24/2024
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