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Organization
JONATHON PENDERGRASS, M.D.
Active
Organization
JONATHON PENDERGRASS, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHON PENDERGRASS M.D. (OWNER)
(251) 631-3534
Entity
Organization
Contact information
Practice address
6801 AIRPORT BLVD, WCC/HBO, MOBILE, AL 36608-3709
(251) 631-3534
(251) 631-3531
Mailing address
6801 AIRPORT BLVD, WCC/HBO, MOBILE, AL 36608-3709
(251) 631-3534
(251) 631-3531
Taxonomy
Speciality
Code
Description
License number
State
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
12457
AL
Other
Enumeration date
03/21/2011
Last updated
03/21/2011
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