Individual
MR. DOUGLAS R. PENINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
12717 S 28TH AVE, BELLEVUE, NE 68123-3232
(402) 292-6006
(402) 292-7465
Mailing address
12717 S 28TH AVE, BELLEVUE, NE 68123-3232
(402) 292-6006
(402) 292-7465
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
110593
NE
Other
Enumeration date
12/13/2006
Last updated
10/30/2017
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