Individual
MRS. PENNIE LEA UTHE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
1550 TOMCAT BLVD, BMC OCEANA--FP, NAS OCEANA, VIRGINIA BEACH, VA 23460-2218
(757) 314-7174
(757) 314-7124
Mailing address
909 ARTESIA WAY, VIRGINIA BEACH, VA 23456-6746
(757) 721-4197
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
02/03/2006
Last updated
07/08/2007
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