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Individual

DR. SEAN MICHAEL PENWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
14175 WEST INDIAN SCHOOL RD STE B4, #501, GOODYEAR, AZ 85395
(424) 322-9032
Mailing address
14175 WEST INDIAN SCHOOL RD STE B4, #501, GOODYEAR, AZ 85395
(424) 322-9032

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
75200
AZ
208D00000X
General Practice Physician
A121260
CA
208D00000X
General Practice Physician
MD-21564
HI

Other

Enumeration date
06/11/2010
Last updated
05/19/2025
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