Individual
THOMAS PENMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
4820 N 1ST ST STE 104, FRESNO, CA 93726-0522
(559) 226-5860
(559) 224-3969
Mailing address
7058 N WEST AVE, # 175, FRESNO, CA 93711-0462
(559) 708-7928
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
000E21961
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000E21960
—
CA
05
—
000E21961
—
CA
Enumeration date
07/23/2006
Last updated
04/15/2020
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