Individual
BRADLEY PENNINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1200 BROOKS LN STE G20, JEFFERSON HILLS, PA 15025-3752
(412) 267-5040
(412) 384-3505
Mailing address
4 ALLEGHENY CTR FL 7, PITTSBURGH, PA 15212-5255
(412) 330-4461
(412) 330-5844
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085006149
IL
363A00000X
Physician Assistant
Primary
MA065811
PA
Other
Enumeration date
03/15/2017
Last updated
10/04/2024
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