Individual
DR. GREGORY D PENNOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
423 N THIRD AVE STE 335, SANDPOINT, ID 83864
(208) 265-7070
(208) 265-7071
Mailing address
2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 83814-6051
(208) 625-5085
(208) 625-5731
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
M12621
ID
Other
Enumeration date
05/24/2005
Last updated
06/08/2018
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