# PENNINGTON MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pennington Women's Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326492109
- **Authorized official:** DR. DAVID PENNINGTON MD (OWNER)
- **Authorized official phone:** (801) 719-8395

## Contact information

- **Practice address:** 3507 N UNIVERSITY AVE STE 175, PROVO, UT 84604-6692
- **Practice address phone:** (801) 719-8395
- **Mailing address:** 3507 N UNIVERSITY AVE STE 175, PROVO, UT 84604-6692
- **Mailing address phone:** (801) 719-8395

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 5665828-1205 | UT | Yes |

## Other

- **Enumeration date:** 04/19/2016
- **Last updated:** 04/19/2016