Organization
BRENT PENLAND MD P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES BRENT PENLAND M.D. (PHYSICIAN)
(303) 790-4556
Entity
Organization
Contact information
Practice address
10099 RIDGEGATE PKWY, SUITE 120, LONE TREE, CO 80124-5531
(303) 790-4556
(303) 790-4552
Mailing address
10099 RIDGEGATE PKWY, SUITE 120, LONE TREE, CO 80124-5531
(303) 790-4556
(303) 790-4552
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
34221
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01342211
—
CO
01
—
34221
STATE LICENSE
CO
Enumeration date
10/19/2007
Last updated
12/19/2007
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