DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. LARRY PAUL PENWRIGHT JR., HIS

Active

MR. LARRY PAUL PENWRIGHT JR., HIS is a Specialist healthcare provider located in ADA, Oklahoma. NPI 1609909142 is currently active in the NPPES registry. Verify at CMS.

Specialist · ADA, OK

Registration Details

NPI Number
1609909142
Provider Type
Individual
Gender
Male
NPI Issued
Mar 13, 2007 (19.278432378143 yrs)
Last Updated
Jul 8, 2007
License
595 (OK)

Practice Information

Address
703 N BROADWAY AVE
SUITE 2
ADA, OK, 748203457
Browse OK providers · Browse ZIP 74820
Phone
5804363277
Fax
5804365046
Primary Specialty
Specialist
174400000X

Other Specialist Providers in ADA, OK

Name Credential NPI
DR. TERRENCE H BORING MD 1487654836
TAWFIK RAMADAN MD 1548252299
GLEN EDWARD DIACON JR. MD 1588659957
DR. DONALD WESLEY DAVIES MD 1730214578
MR. JASON LEE PRATHER ATC 1932221793
MRS. DEBRA J COX IBCLC,RLC 1013190529
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.