Search › Louisiana › 101YA0400X
Daniel Pennywell
NPI 1376206482 · on the registry since 2021
Practice
- Address
- 1505 Doctors Dr
Bossier City, LA 71111 - Phone
- (318) 584-7133
- Clinicians at this address
- 10
Additional practice sites
- 3821 Southern Ave, Shreveport, LA
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Also registered as
- 171M00000X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-10-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana