NPI 1609909142
Larry Paul Penwright, HIS
Practice location
- Address
- 703 N Broadway Ave Suite 2, Ada, OK 74820-3457
- Phone
- (580) 436-3277
- Fax
- (580) 436-5046
Registered specialties
Specialist
Primary
Registry record
- NPI
- 1609909142
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 13 Mar 2007
- Record last updated
- 8 Jul 2007
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.