Larry Paul Penwright Jr., HIS

Specialist · Ada, OK

Individual Active NPI

NPI number 1609909142

Practice location

703 N Broadway Ave
Suite 2
Ada, OK 74820-3457
Phone
(580) 436-3277
Fax
(580) 436-5046

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NPI record

NPI
1609909142
Entity type
Individual (Type 1)
Enumeration date
March 13, 2007
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Specialist Primary 174400000X 595 OK

About Larry Penwright

Larry Paul Penwright Jr., HIS is a healthcare provider registered in the NPI registry with the primary taxonomy Specialist (code 174400000X). The practice location is 703 N Broadway Ave, Suite 2, Ada, OK 74820-3457. The NPI number 1609909142 was assigned on March 13, 2007 and the record was last updated on July 8, 2007.

Larry Penwright lists a license in the registry: #595 (OK) for Specialist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Larry Paul Penwright Jr., HIS?

The NPI number is 1609909142.

What is the phone number of Larry Penwright?

The phone number listed for the practice location is (580) 436-3277.

Where is Larry Penwright located?

703 N Broadway Ave, Suite 2, Ada, OK 74820-3457.

What is the taxonomy code for Larry Penwright?

The primary taxonomy code is 174400000X – Specialist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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