Whalio Doctors

NPI 1023451101

Ian Joseph Penniston, DO

Practitioner Behavioral Neurology & Neuropsychiatry Physician North Las Vegas, NV

Practice location

Address
6900 N Pecos Rd, North Las Vegas, NV 89086-4400
Phone
(702) 791-9000

Registered specialties (4)

Behavioral Neurology & Neuropsychiatry Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2084B0040X Licence 59778 (MN)
Addiction Medicine (Preventive Medicine) Physician
Allopathic & Osteopathic Physicians Taxonomy 2083A0300X Licence 59778 (MN)
Psychiatry Physician
Allopathic & Osteopathic Physicians Taxonomy 2084P0800X Licence 59778 (MN)
Pain Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 208VP0000X Licence 59778 (MN)

Registry record

NPI
1023451101
Entity type
Individual
Sex (as registered)
Male
NPI issued
9 Apr 2013
Record last updated
30 Jun 2023

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.