Individual
DR. MARK A. PENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 ARCH ST STE 3A, AKRON, OH 44304-1447
(330) 375-3584
(330) 375-6306
Mailing address
10530 DISCOVERY DR, LAS VEGAS, NV 89135-3050
(702) 802-2832
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
15507
NV
207QA0000X
Adolescent Medicine (Family Medicine) Physician
35042202
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0396361
—
OH
Enumeration date
01/03/2007
Last updated
08/15/2016
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