PENNY R. VANDESTREEK DO INC. NPI 1558540526

NPI Information

PENNY R. VANDESTREEK DO, INC. is a nuclear imaging and therapy nuclear medicine in Roseville, CA. The provider is a nuclear medicine physician who specializes in nuclear imaging and therapy. PENNY R. VANDESTREEK DO, INC. NPI is 1558540526. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1 MEDICAL PLAZA DR
ATT NUCLEAR MEDICINE
ROSEVILLE, CA
ZIP 95661-037
Phone: (916) 781-1292
Fax: (916) 663-9912

The provider's authorized official is Penny R Vandestreek .
The authorized official title is President and has the following contact phone number (916) 781-1292.

The enumeration date for this NPI number is 10/26/2007 and was last updated on 6/30/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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