Individual
ERIC RYAN PENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
123 BAVARIAN HILLS PLZ, HERMANN, MO 65041-1613
(573) 486-2118
(573) 486-3533
Mailing address
123 BAVARIAN HILLS PLZ, HERMANN, MO 65041-1613
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
2023010859
MO
Other
Enumeration date
03/24/2020
Last updated
11/14/2023
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