Organization
PENNINGTON MEDICAL CENTER
Active
Other names
Pennington Women's Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID PENNINGTON MD (OWNER)
(801) 719-8395
Entity
Organization
Contact information
Practice address
3507 N UNIVERSITY AVE STE 175, PROVO, UT 84604-6692
(801) 719-8395
Mailing address
3507 N UNIVERSITY AVE STE 175, PROVO, UT 84604-6692
(801) 719-8395
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
5665828-1205
UT
Other
Enumeration date
04/19/2016
Last updated
04/19/2016
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