| Gary Elliot Penner, MD | |
|
1615 Delaware St, Longview, WA 98632-2310 | |
| (360) 414-2000 | |
| Not Available |
| Full Name | Gary Elliot Penner |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 1615 Delaware St, Longview, Washington |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386681880 | NPI | - | NPPES |
| 8301905 | Medicaid | WA | |
| 9626045 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | MD00016397 (Washington) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Gary Elliot Penner, MD Po Box 11510, Westminster, CA 92685-1510 Ph: () - | Gary Elliot Penner, MD 1615 Delaware St, Longview, WA 98632-2310 Ph: (360) 414-2000 |
John Y Kim, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-636-4831 | |
Dr. Ryan Michael Caulfield, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-636-4830 | |
Dr. Rusty Wes Gust, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-2000 | |
Aftab A Awan, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-2730 Fax: 360-414-2739 | |
Paul A Schneider, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-2000 | |
Dr. Joshua Russell, M.D., MSC Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1615 Delaware St, St Johns Hospital - Peacehealth, Longview, WA 98632 Phone: 360-414-2000 |