| Brent Penland Md P.c. | |
|
10099 Ridgegate Pkwy Suite 120 Lone Tree CO 80124-5531 | |
| (303) 790-4556 | |
| (303) 790-4552 |
| Full Name | Brent Penland Md P.c. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 10099 Ridgegate Pkwy, Lone Tree, Colorado |
| Authorized Official Name and Position | James Brent Penland (PHYSICIAN) |
| Authorized Official Contact | 3037904556 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brent Penland Md P.c. 10099 Ridgegate Pkwy Suite 120 Lone Tree CO 80124-5531 Ph: (303) 790-4556 | Brent Penland Md P.c. 10099 Ridgegate Pkwy Suite 120 Lone Tree CO 80124-5531 Ph: (303) 790-4556 |
| NPI Number | 1962691519 |
|---|---|
| Provider Enumeration Date | 10/19/2007 |
| Last Update Date | 12/19/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962691519 | NPI | - | NPPES |
| 01342211 | Medicaid | CO | |
| 34221 | Other | CO | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 34221 (Colorado) | Primary |
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