Ovidio Moises Penalver in Puyallup - Specialist
Ovidio Moises Penalver - NPI 1457357964
Ovidio Moises Penalver is a Specialist in Puyallup, Washington. Ovidio Moises Penalver practices all healthcare services and medical treatments related to Specialist. The NPI Number for Ovidio Moises Penalver is 1457357964. The last update date is 2007-07-08.
Ovidio Moises Penalver's current location address is 319 5th St Sw, Puyallup, Washington. You can contact this provider via phone number 2538480351 and fax number 2538411397. The mailing address for Ovidio Moises Penalver is 319 5th St Sw, Puyallup, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ovidio Moises Penalver |
|---|---|
| Address | 319 5th St Sw, Puyallup, Washington |
| Phone Number | 2538480351 |
| Fax Number | 2538411397 |
| Sole Proprietor | X |
| Credentials | MD, PS |
NPI Number Detail
| NPI Number | 1457357964 |
|---|---|
| Provider Enumeration Date | 2005-06-21 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 319 5th St Sw |
|---|---|
| City | Puyallup |
| State | Washington (WA) |
| Post Code | 9837158280 |
| Phone Number | 2538480351 |
| Fax Number | 2538411397 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | MD00015660 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7110653 | WA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Ovidio Moises Penalver by the Centers for Medicare & Medicaid Services?
The Ovidio Moises Penalver has been assigned the NPI (National Provider Identifier) 1457357964 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Ovidio Moises Penalver is located?
The Ovidio Moises Penalver is situated at the following address: 319 5Th St Sw, Puyallup, WA, 9837158280.
What is Ovidio Moises Penalver's specialized field of practice, and what is the corresponding taxonomy classification code?
The Ovidio Moises Penalver's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.
On what date did the Ovidio Moises Penalver receive the assignment of its 1457357964 from the Centers for Medicare & Medicaid Services?
The Ovidio Moises Penalver was issued its 1457357964 by the Centers for Medicare & Medicaid Services on 2005-06-21.
When was the information pertaining to Ovidio Moises Penalver most recently updated or revised?
The details related to Ovidio Moises Penalver, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.