Rebecca Michelle Penner, PA-C

NPI #1932765013 in Boise, Idaho

Provider Information

NPI Number: 1932765013
Entity Type: Individual
Name: Rebecca Michelle Penner, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: May 14, 2019
Last Updated: Dec 20, 2023

Practice Location

Address: 100 E IDAHO ST STE 200
City: Boise
State: Idaho
ZIP Code: 83712-6270
Phone: (208) 381-2711

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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