Individual
GABRIEL PENAREDONDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1301 W 18TH ST, SIOUX FALLS, SD 57105-0401
(605) 312-2100
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12187
MN
363A00000X
Physician Assistant
—
—
Other
Enumeration date
06/29/2016
Last updated
01/22/2024
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