Individual
DR. GREGORY GEORGE PENDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1704 SIR WILLIAM OSLER DR, VIRGINIA BEACH, VA 23454-3003
(757) 481-4383
(757) 481-4611
Mailing address
1704 SIR WILLIAM OSLER DR, VIRGINIA BEACH, VA 23454-3003
(757) 481-4383
(757) 481-4611
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
0101242680
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1831172121
—
VA
Enumeration date
11/21/2005
Last updated
08/02/2016
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