Individual
CRYSTAL ROSE PENNINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7301 ROGERS AVE, BOX 1426, FORT SMITH, AR 72903-4100
(479) 441-5215
Mailing address
PO BOX 1426, FORT SMITH, AR 72902-1426
(479) 452-9416
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
E-7102
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
193382001
—
AR
05
—
200441210A
—
OK
Enumeration date
05/16/2007
Last updated
02/21/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us