GREGORY P PENNING R.T.(R)(CT)ARRT - NPI 1124767330

Q: What is the provider's specialty?

The provider's specialty is Radiology with taxonomy code 2085R0202X and a focus in Diagnostic Radiology.

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About Gregory P Penning R.t.(r)(ct)arrt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GREGORY P PENNING R.T.(R)(CT)ARRT (NPI 1124767330) is an individual diagnostic radiology provider in Santa Rosa, California, licensed in California (RHF00097211) and active in the NPI registry since June 2022.

NPPES Registry Identity

NPI1124767330

Entity TypeIndividualMale

Primary Taxonomy2085R0202X

Provider Legal NameGREGORY P PENNINGCredential: R.T.(R)(CT)ARRT

Location Address30 MARK WEST SPRINGS RDSanta Rosa, CA 95403-1436

Mailing Address30 Mark West Springs RdSanta Rosa, CA 95403-1436 · (707) 576-4000

Phone(707) 576-4000

Sole ProprietorNo

Enumeration DateJune 4, 2022

NPPES CertifiedJune 4, 2022

✔ NPI 1124767330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

License✔ Licensed in CA · RHF00097211

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

30 MARK WEST SPRINGS RD, Santa Rosa, CA 95403

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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