Richard P. Jennings D.o. S. C.
NPI #1043394562 in Beaver Dam, Wisconsin
Provider Information
- NPI Number
- 1043394562
- Entity Type
- Organization
- Organization Name
- Richard P. Jennings D.o. S. C.
- Primary Specialty
- Otolaryngology
- Enumeration Date
- Oct 24, 2006
- Last Updated
- Jun 12, 2008
Practice Location
- Address
- 109 WARREN ST
- City
- Beaver Dam
- State
- Wisconsin
- ZIP Code
- 53916
- Phone
- (920) 887-8646
Authorized Official
- Name
- DR. RICHARD P JENNINGS, DO
- Title
- PHYSICIAN OWNER
- Phone
- (920) 887-8646
Specialties & Taxonomy Codes
| Specialty |
|---|
| Otolaryngology |
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