Individual
DR. JUAN C PENHOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3703 COLUMBUS AVE, SANDUSKY, OH 44870-5719
(419) 625-8085
(419) 625-6004
Mailing address
3703 COLUMBUS AVE, SANDUSKY, OH 44870-5719
(419) 625-8085
(419) 625-6004
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
35058356P
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2391835
—
OH
Enumeration date
07/12/2005
Last updated
07/08/2007
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