Pena, Dennis Rey

Pena, Dennis Rey is an individual health care provider with primary practice located at 4212 N. 16Th St. , Phoenix AZ 85016. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Pena, Dennis Rey can be contacted via phone (602) 263-1200.

Contact Information

Primary practice address
4212 N. 16Th St. Phoenix AZ 85016
Phone: (602) 263-1200
Fax: (602) 200-5383
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X E 3916 California

Profile Details

NPI number 1376638783
LBN Legal business name Pena, Dennis Rey
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Jun 27th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376638783 NPPES
Arizona Other AZ0194780 BCBS
Arizona MEDICAID 424325 BCBS

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