Individual
ESTEBAN PENA AYALA
Active
Individual
ESTEBAN PENA AYALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
57011037
OH
207R00000X
Internal Medicine Physician
35.090444
OH
207R00000X
Internal Medicine Physician
Primary
MD 2013-0215
NM
390200000X
Student in an Organized Health Care Education/Training Program
PENA-KJSY7U
NC
Other
Enumeration date
03/30/2007
Last updated
04/27/2024
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