SHANE DEXTER PENNA

OMAHA, NE
NPI1851282024
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: NE  10396)
Enumeration Date2025-07-14
Last Update Date2025-07-14
Business Address
Dr. SHANE DEXTER PENNA
983075 NEBRASKA MEDICAL CTR
OMAHA, NE 68198-3075
Phone number: 402-595-2275
Mailing Address
Dr. SHANE DEXTER PENNA
983075 NEBRASKA MEDICAL CTR
OMAHA, NE 68198-3075
Phone number: 402-595-2275
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