Individual
M STEVEN PENNINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2551 E MCCRACKEN RD, OZARK, MO 65721-7428
(000) 000-0000
Mailing address
2551 E MCCRACKEN RD, OZARK, MO 65721-7428
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R6B02
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
106988
BLUE CROSS/BLUE SHIELD
—
05
—
201794450
—
MO
Enumeration date
06/14/2006
Last updated
07/21/2023
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