Madeline Anne Penner, PA-C
NPI #1346639176 in Broken Arrow, Oklahoma
Provider Information
- NPI Number
- 1346639176
- Entity Type
- Individual
- Name
- Madeline Anne Penner, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Jan 16, 2015
- Last Updated
- Oct 29, 2024
Practice Location
- Address
- 2950 S ELM PL STE 256
- City
- Broken Arrow
- State
- Oklahoma
- ZIP Code
- 74012-7871
- Phone
- (918) 449-4061
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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