Individual
DR. PENNY XUAN DUPRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10075 GRAND BAY WILMER RD S, GRAND BAY, AL 36541-5003
(251) 865-1852
Mailing address
10075 GRAND BAY WILMER RD S, GRAND BAY, AL 36541-5003
(251) 865-1852
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD.203001
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1087581
—
LA
05
—
189689
—
AL
05
—
189935
—
AL
05
—
191317
—
AL
Enumeration date
06/11/2008
Last updated
12/19/2016
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