Organization
RAFFAELE PENNELLA MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAFFAELE PENNELLA M.D. (PHYSICIAN/OWNER)
(417) 889-3332
Entity
Organization
Contact information
Practice address
3808 S GREYSTONE CT, SPRINGFIELD, MO 65804-6561
(417) 889-3332
(417) 881-1410
Mailing address
3808 S. GREYSTONE CT, SPRINGFIELD, MO 65804
(417) 889-3332
(417) 881-1410
Taxonomy
Speciality
Code
Description
License number
State
207ND0900X
Dermatopathology Physician
Primary
110288
MO
Other
Enumeration date
06/20/2017
Last updated
07/21/2022
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