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Individual

ESTEBAN PENA AYALA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
101 MANNING DR, CHAPEL HILL, NC 27514-4220
(404) 519-5489
Mailing address
9311 S REDHAVEN DR, SANDY, UT 84094-3057
(404) 519-5489

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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