Organization
DAVID PENNER MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID EUGENE PENNER MD (DR)
(360) 539-1736
Entity
Organization
Contact information
Practice address
1801 W BAY DR NW STE 104, OLYMPIA, WA 98502-4310
(360) 539-1736
(360) 350-5610
Mailing address
PO BOX 23, OLYMPIA, WA 98507-0023
(360) 539-1736
(360) 350-5610
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2149000
—
WA
Enumeration date
02/24/2021
Last updated
05/05/2026
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