| Doctor Name: | PAUL PFENNIG |
| NPI Number: | 1043503113 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | ACNS-BC, ANP-BC |
| License Number: | 1671 |
| Business Practice Address: | 309 S Central Ave Sidney, MT - 592704127 |
| Business Phone Number: | 4064885000 |
| Business Fax Number: | |
| Mailing Address: | 309 S Central Ave, SIDNEY |
| State: | MT |
| Postal Code: | 592704127 |
| Phone Number: | 4064885000 |
| Fax Number: | |
| NPI Enumeration Date: | 05/24/2011 |
| NPI Last Update Date: | 11/15/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 1671 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |