Individual
ALEX PENEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-0001
(206) 543-1140
Mailing address
169 E 90TH ST APT 8, NEW YORK, NY 10128-2341
(312) 860-0074
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
PENDING
WA
Other
Enumeration date
03/21/2022
Last updated
03/21/2022
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