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DR. JULIA DENNIS DE LA CRUZ PENA M.D.

>> Pediatrics >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1073878104

Individual Registrant:
DR. JULIA DENNIS DE LA CRUZ PENA M.D.
Gender: F
Not Sole Proprietor

Location and contact information for practice:
7777 HWY 43 N  MCINTOSH, AL 36553 US
Tel: 251-944-2842  Fax: 251-944-8070

Contact information for business:
P.O. BOX 415 7777 HWY 43 N MCINTOSH, AL 36553 US
Tel: 251-944-2842  Fax: 251-944-8070

Registration Information:
NPI: 1073878104
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y208000000XAllopathic & Osteopathic Physicians
Pediatrics
AL34471

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
BC/BS OF AL511-66341AL01
175852AL05




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