Individual
MR. DAVID L PENDLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
769 S MAIN ST, SUITE 300, MANCHESTER, NH 03102-5166
(603) 625-6198
Mailing address
9 TUTTLE RD, BEDFORD, NH 03110-4328
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0348
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0348
STATE LICENCE NUMBER
NH
Enumeration date
06/10/2006
Last updated
10/29/2020
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