Individual
ELENA RUTHANN PENHOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12631 E 17TH AVE, AURORA, CO 80045-2527
(303) 724-1784
Mailing address
12700 E 19TH AVE, AURORA, CO 80045-2560
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/23/2023
Last updated
06/21/2024
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