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Organization
PENNINGTON MEDICAL CENTER
Active
Organization
PENNINGTON MEDICAL CENTER
Active
Other names
Pennington Women's Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID PENNINGTON MD (OWNER)
(801) 719-8395
Entity
Organization
Contact information
Practice address
3507 N UNIVERSITY AVE STE 175, PROVO, UT 84604-6692
(801) 719-8395
Mailing address
3507 N UNIVERSITY AVE STE 175, PROVO, UT 84604-6692
(801) 719-8395
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
5665828-1205
UT
Other
Enumeration date
04/19/2016
Last updated
04/19/2016
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