John Cornelius Penner, MD

NPI #1003626458 in Los Gatos, California

Provider Information

NPI Number
1003626458
Entity Type
Organization
Organization Name
John Cornelius Penner, MD
Primary Specialty
Internal Medicine
Enumeration Date
Jan 8, 2025
Last Updated
Jan 8, 2025

Practice Location

Address
69 HERNANDEZ AVE
ZIP Code
95030-5844
Phone
(408) 204-6990

Authorized Official

Name
TRACI CROSBY
Title
CREDENTIALING MANAGER
Phone
(715) 490-2043

Specialties & Taxonomy Codes

Specialty
Preventive Medicine - Public Health & General Preventive MedicinePublic Health & General Preventive Medicine
Internal Medicine

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