Individual
DENNIS REY PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
4212 N. 16TH ST., PHOENIX, AZ 85016
(602) 263-1200
(602) 200-5383
Mailing address
4212 N. 16TH ST., PHOENIX, AZ 85016
(602) 263-1200
(602) 200-5383
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E 3916
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
424325
—
AZ
01
—
AZ0194780
BCBS
AZ
Enumeration date
10/03/2006
Last updated
06/27/2011
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