Individual
ALEXANDER CLIFFORD PENNINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
615 S NEW BALLAS RD, SAINT LOUIS, MO 63141-8221
(636) 288-5905
Mailing address
3100 OHIO AVE, SAINT LOUIS, MO 63118-2408
(636) 288-5905
(636) 288-5905
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2017018283
MO
Other
Enumeration date
01/23/2026
Last updated
01/23/2026
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