Terry Ken Pennington
NPI #1083204788 in Malmstrom Afb, Montana
Provider Information
- NPI Number
- 1083204788
- Entity Type
- Individual
- Name
- Terry Ken Pennington
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Technician
- Enumeration Date
- Jan 26, 2021
- Last Updated
- Jan 26, 2021
Practice Location
- Address
- 7300 N PERIMETER RD
- City
- Malmstrom Afb
- State
- Montana
- ZIP Code
- 59402-6701
- Phone
- (406) 731-3875
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician |
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