Individual
DR. ELIZABETH GRYSKIEWICZ PENNINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO, MS
Contact information
Practice address
30 E APPLE ST STE 6258, DAYTON, OH 45409-2939
(937) 208-8000
Mailing address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-5000
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
58.033627
OH
390200000X
Student in an Organized Health Care Education/Training Program
58.033627
OH
Other
Enumeration date
04/20/2023
Last updated
06/26/2024
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