Individual
DR. MICHAEL GLENN PENNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 462-4316
Mailing address
NAVAL MEDICAL CENTER PORTSMOUTH, 620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708
(757) 953-6452
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
A55439
CA
2083X0100X
Occupational Medicine Physician
Primary
A55439
CA
Other
Enumeration date
03/08/2007
Last updated
02/13/2025
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