| Doctor Name: | ERIKA J PENROD |
| NPI Number: | 1427161975 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | |
| Business Practice Address: | 280 Looney Rd Ste 204 Piqua, OH - 453564199 |
| Business Phone Number: | 9377734123 |
| Business Fax Number: | 9377737717 |
| Mailing Address: | 3130 N County Road 25a, Ste 214 TROY |
| State: | OH |
| Postal Code: | 453731337 |
| Phone Number: | 9377734123 |
| Fax Number: | 9377737717 |
| NPI Enumeration Date: | 08/17/2006 |
| NPI Last Update Date: | 04/07/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |