Individual
SARA R. PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3202 E GREENWAY RD, PHOENIX, AZ 85032-4548
(602) 325-5577
Mailing address
3202 E GREENWAY RD, PHOENIX, AZ 85032-4548
(602) 325-5577
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
30236
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
716235
—
AZ
Enumeration date
08/30/2006
Last updated
04/09/2020
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