Individual
DR. ROBERT A. PENMAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4600 BROADWAY, SUITE 1400, SACRAMENTO, CA 95820-1527
(916) 874-9522
Mailing address
4600 BROADWAY, SUITE 1400, SACRAMENTO, CA 95820-1527
(916) 874-9522
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G33731
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G337311
—
CA
Enumeration date
06/07/2006
Last updated
07/08/2007
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