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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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