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1164620399
THOMAS ROBERT PENA
PHOENIX, AZ
NPI
1164620399
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: AZ R951)
Enumeration Date
2007-07-10
Last Update Date
2007-07-10
Business Address
-- THOMAS ROBERT PENA D.O.
1300 N 12TH ST SUITE 605
PHOENIX, AZ 85006-2848
Phone number: 602-239-4567
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Mailing Address
-- THOMAS ROBERT PENA D.O.
1300 N 12TH ST SUITE 605
PHOENIX, AZ 85006-2848
Phone number: 602-239-2668
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