Individual
LOUIS I PENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
18 NW 20TH AVE, BATTLE GROUND, WA 98604-4175
(360) 952-4457
(360) 828-7409
Mailing address
18 NW 20TH AVE, BATTLE GROUND, WA 98604-4175
(360) 952-4457
(360) 828-7409
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD20257
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
210837
—
OR
Enumeration date
07/06/2006
Last updated
02/08/2022
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