NPI 1023024973

Gregorius Resuma Penilla, MD

Practitioner Internal Medicine Physician Fenton, MO

Practice location

Address: 1345 Smizer Mill Rd STE 1100, Fenton, MO 63026-7305
Phone: (636) 496-5040
Mailing address: PO Box 955534, Saint Louis, MO 63195-5534

Registered specialties

Internal Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence 36678 (MO)

Other Internal Medicine providers in Missouri →

Registry record

NPI: 1023024973
Entity type: Individual
Sex (as registered): Male
NPI issued: 31 Jul 2006
Record last updated: 26 Oct 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.