Organization
ROBERT C. PENNINGTON, MD, PC
Active
Organization
ROBERT C. PENNINGTON, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT CARL PENNINGTON M.D. (PRESIDENT)
(304) 425-2297
Entity
Organization
Contact information
Practice address
311 COURTHOUSE ROAD, PRINCETON, WV 24740-2421
(304) 487-2297
(304) 487-4802
Mailing address
311 COURTHOUSE ROAD, PRINCETON, WV 24740-2421
(304) 487-2297
(304) 487-4802
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
25068
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810024625
—
WV
01
—
562129755
TAX IDENTIFIER
NC
01
—
86314
MEDCOST
—
05
—
89-1070V
—
NC
Enumeration date
06/26/2007
Last updated
02/25/2014
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