Individual
MR. MICHAEL V PENNINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1728 S CARSON AVE, TULSA, OK 74119-4610
(918) 280-0310
Mailing address
3730 E 2ND PL, TULSA, OK 74112-1214
(918) 527-9518
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
02/07/2025
Last updated
02/07/2025
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