Eric A Pena
Clinical Cardiac Electrophysiologist
520 Medical Center Dr Suite 200
Medford
, Oregon 97504-4314
Eric A Pena
Clinical Cardiac Electrophysiologist
520 Medical Center Dr Suite 200
Medford
, Oregon 97504-4314
(541) 282-6601
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About
Features
Specialties
- Clinical Cardiac Electrophysiologist
Languages spoken
- English
Location
First Address
- Eric A Pena
- 520 Medical Center Dr Suite 200
- Medford, OR
- Zip : 97504-4314
- Fax : (541) 282-6601
- Phone : (541) 282-6606
Second Address
- Eric A Pena
- 520 Medical Center Dr Suite 200
- Medford, OR
- Zip : 97504-4314
- Fax : (541) 282-6601
- Phone : (541) 282-6606
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RC0001X | Clinical Cardiac Electrophysiologist | 24394 | OR |
National Provider Identifier
| NPI | 1093703563 |
|---|---|
| Provider Name | Eric A Pena |
| First Address | Medford, OR 97504-4314 |
| Second Address | Medford, OR 97504-4314 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/10/2005 |
| Last Update Date | 16/11/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 227007 | (05) | OR |
| G69638 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.