Individual
TODD A PENTICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
269 N 1ST AVE, IOWA CITY, IA 52245-3616
(319) 351-6852
(319) 351-2625
Mailing address
PO BOX 2027, IOWA CITY, IA 52244-2027
(319) 339-3855
(319) 358-2737
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34298
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010065841
RAILROAD MEDICARE
IA
05
—
0266098
—
IA
Enumeration date
06/04/2006
Last updated
12/03/2015
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