Individual
DR. DAVID EUGENE PENNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1801 W BAY DR NW STE 104, OLYMPIA, WA 98502-4310
(360) 539-1736
(360) 350-5610
Mailing address
PO BOX 23, OLYMPIA, WA 98507-0023
(360) 539-1736
(360) 350-5610
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
228522
MA
2084P0800X
Psychiatry Physician
MD60191191
WA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MD60191191
WA
Other
Enumeration date
11/01/2006
Last updated
05/17/2020
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