NPI 1114005584

David Eugene Penner, MD

Practitioner Child & Adolescent Psychiatry Physician Olympia, WA

Practice location

Address: 1801 W Bay Dr NW STE 104, Olympia, WA 98502-4310
Phone: (360) 539-1736
Fax: (360) 350-5610
Mailing address: PO Box 23, Olympia, WA 98507-0023

Registered specialties (3)

Child & Adolescent Psychiatry Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2084P0804X Licence MD60191191 (WA)

Other Psychiatry & Neurology providers in Washington →

Psychiatry Physician

Allopathic & Osteopathic Physicians Taxonomy 2084P0800X Licence 228522 (MA)

Psychiatry Physician

Allopathic & Osteopathic Physicians Taxonomy 2084P0800X Licence MD60191191 (WA)

Registry record

NPI: 1114005584
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Nov 2006
Record last updated: 17 May 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.