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Individual

RUPINDER PENNA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
801 S STEVENS ST, SPOKANE, WA 99204-2654
(509) 363-7788
Mailing address
801 S STEVENS ST, SPOKANE, WA 99204-2654
(509) 363-7788

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
20A18258
CA
2085R0202X
Diagnostic Radiology Physician
Primary
OP60854388
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1972982874
NPI
WA
Enumeration date
05/26/2015
Last updated
08/02/2021
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