Individual
MICHAEL PENNOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 DUTCH RIDGE RD, BEAVER, PA 15009-9727
(724) 773-7616
(724) 773-4673
Mailing address
1000 DUTCH RIDGE RD, BEAVER, PA 15009-9727
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
MD484504
PA
Other
Enumeration date
03/23/2018
Last updated
06/18/2024
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