Individual
TANIS S PENDLETON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD,PHD
Contact information
Practice address
100 HOSPITAL RD, BROOKVILLE, PA 15825-1367
(814) 849-1876
Mailing address
100 HOSPITAL RD, BROOKVILLE, PA 15825-1367
(814) 849-1876
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD429688
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08775798
—
MS
Enumeration date
10/11/2006
Last updated
07/08/2007
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