Individual
GARY A. PENNINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
35.055319
OH
208200000X
Plastic Surgery Physician
Primary
35.055319
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
240006022
RAILROAD MEDICARE
—
05
—
927788
—
OH
Enumeration date
11/01/2006
Last updated
06/01/2021
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