MR. GUY ANTHONY PENN PA-C NPI 1114022050

NPI Information

  • NPI: 1114022050
  • Provider Name: MR. GUY ANTHONY PENN, PA-C
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • Address: 3601 S 6TH AVE
    TUCSON, AZ
    ZIP 85723
  • Phone: (520) 792-1450

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NPI Details

MR. Guy Anthony Penn, PA-C is a surgical physician assistant in Tucson, AZ. MR. Guy Anthony Penn, PA-C NPI is 1114022050. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3601 S 6TH AVE
TUCSON, AZ
ZIP 85723-001
Phone: (520) 792-1450

The enumeration date for this NPI number is 9/14/2006 and was last updated on 9/11/2019.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363A00000XPhysician Assistant3214ARIZONANo
2363AS0400XPhysician AssistantSurgicalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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