Provider Demographics
NPI:1356766919
Name:PENERY, TONI ERIN (MAC)
Entity type:Individual
Prefix:
First Name:TONI
Middle Name:ERIN
Last Name:PENERY
Suffix:
Gender:F
Credentials:MAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:700 NW 7TH ST
Mailing Address - Street 2:SUITE 302
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73102-1212
Mailing Address - Country:US
Mailing Address - Phone:405-609-3675
Mailing Address - Fax:800-506-3795
Practice Address - Street 1:1300 E 9TH ST STE 6
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73034-5760
Practice Address - Country:US
Practice Address - Phone:405-697-5121
Practice Address - Fax:405-785-3561
Is Sole Proprietor?:No
Enumeration Date:2014-02-19
Last Update Date:2023-02-01
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist