Individual
DR. SANDRA F PENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1217 1ST ST NW, ALBUQUERQUE, NM 87102-1529
(505) 242-4644
Mailing address
1117 PRINCETON DR NE, ALBUQUERQUE, NM 87106-2614
(505) 266-2492
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
80-78
NM
Other
Enumeration date
02/13/2006
Last updated
07/08/2007
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