Individual
MRS. OLGA BREA PENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3348 AMERICAN AVE, JEFFERSON CITY, MO 65109-1079
(573) 761-7210
(573) 634-8802
Mailing address
5406 DEER VALLEY DRIVE, UNIT B, JEFFERSON CITY, MO 65109
(704) 300-1824
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2018029871
MO
282N00000X
General Acute Care Hospital
—
—
Other
Enumeration date
08/04/2015
Last updated
12/15/2020
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