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Individual

PENNAN BARRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, MPH

Contact information

Practice address
850 MARINA BAY PKWY, BLDG P, SECOND FLOOR, RICHMOND, CA 94804-6403
(510) 620-3041
Mailing address
850 MARINA BAY PKWY, BLDG P, SECOND FLOOR, RICHMOND, CA 94804-6403

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A92150
CA
207RI0200X
Infectious Disease Physician
Primary
A92150
CA

Other

Enumeration date
07/21/2008
Last updated
02/18/2011
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