Individual
ERIC A PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD FACC
Contact information
Practice address
520 MEDICAL CENTER DR, SUITE 200, MEDFORD, OR 97504-4314
(541) 282-6606
(541) 282-6601
Mailing address
520 MEDICAL CENTER DR, SUITE 200, MEDFORD, OR 97504-4314
(541) 282-6606
(541) 282-6601
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
24394
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
227007
—
OR
Enumeration date
10/10/2005
Last updated
11/16/2011
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