Individual
ANGELA M PENNELL
Active
Individual
ANGELA M PENNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
2006-00599
NC
207L00000X
Anesthesiology Physician
Primary
47928
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
97604381
—
CO
Enumeration date
04/12/2007
Last updated
12/23/2009
Update your record
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