Pennington Medical Center

NPI #1326492109 in Provo, Utah

Provider Information

NPI Number: 1326492109
Entity Type: Organization
Organization Name: Pennington Medical Center
Primary Specialty: Obstetrics & Gynecology
Enumeration Date: Apr 19, 2016
Last Updated: Apr 19, 2016

Practice Location

Address: 3507 N UNIVERSITY AVE STE 175
City: Provo
State: Utah
ZIP Code: 84604-6692
Phone: (801) 719-8395

Authorized Official

Name: DR. DAVID PENNINGTON, MD
Title: OWNER
Phone: (801) 719-8395

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Obstetrics & Gynecology	207V00000X	Primary

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