Individual
GREGORY P PENNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.T.(R)(CT)ARRT
Contact information
Practice address
30 MARK WEST SPRINGS RD, SANTA ROSA, CA 95403-1436
(707) 576-4000
Mailing address
30 MARK WEST SPRINGS RD, SANTA ROSA, CA 95403-1436
(707) 576-4000
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
RHF00097211
CA
Other
Enumeration date
06/04/2022
Last updated
06/04/2022
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