MR. Corey Mark Pendergraft, M.D.

NPI #1528857372 in Pullman, Washington

Provider Information

NPI Number: 1528857372
Entity Type: Individual
Name: MR. Corey Mark Pendergraft, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Credential: M.D.
Enumeration Date: May 6, 2025
Last Updated: Feb 2, 2026

Practice Location

Address: WSU FAMILY MEDICINE RESIDENCY CENTER
Address 2: 825 SE BISHOP BLVD STE 401
City: Pullman
State: Washington
ZIP Code: 99163
Phone: (509) 336-7720

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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