Individual
DR. PENNIANN WHITTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
13838 S 46TH PL, STE 125, PHOENIX, AZ 85044-7800
(480) 783-7000
Mailing address
4635 N 22ND ST, UNIT 118, PHOENIX, AZ 85016-4643
(480) 783-7000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
33671
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
943953
—
AZ
Enumeration date
01/26/2006
Last updated
12/27/2021
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