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Individual

GARY A. PENNINGTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3925 EMBASSY PKWY STE 300, AKRON, OH 44333-1763
(330) 668-4065
(330) 668-4082
Mailing address
3925 EMBASSY PKWY STE 300, AKRON, OH 44333-1763
(330) 668-4065
(330) 668-4082

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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