Robert Elden Pennington Md, Phd, Pc in Roswell - Neuromusculoskeletal Medicine, Sports Medicine
Robert Elden Pennington Md, Phd, Pc - NPI 1780873547
Robert Elden Pennington Md, Phd, Pc is a Neuromusculoskeletal Medicine, Sports Medicine in Roswell, New Mexico. Robert Elden Pennington Md, Phd, Pc practices all healthcare services and medical treatments related to Neuromusculoskeletal Medicine, Sports Medicine. The NPI Number for Robert Elden Pennington Md, Phd, Pc is 1780873547. The last update date is 2007-10-17.
Robert Elden Pennington Md, Phd, Pc's current location address is 1 El Arco Iris Dr, Roswell, New Mexico. You can contact this provider via phone number 5056255512 and fax number 5056251013. The mailing address for Robert Elden Pennington Md, Phd, Pc is 1 El Arco Iris Dr, Roswell, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Robert Elden Pennington Md, Phd, Pc |
|---|---|
| Address | 1 El Arco Iris Dr, Roswell, New Mexico |
| Phone Number | 5056255512 |
| Fax Number | 5056251013 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHYSICIAN |
|---|---|
| Authorized Official Name | Pennington Robert |
| Credentials | M.D., PHD |
| Telephone Number | 5056255512 |
NPI Number Detail
| NPI Number | 1780873547 |
|---|---|
| Provider Enumeration Date | 2007-10-17 |
| Last Updated Date | 2007-10-17 |
Provider Mailing Address Detail
| Address | 1 El Arco Iris Dr |
|---|---|
| City | Roswell |
| State | New Mexico (NM) |
| Post Code | 882017711 |
| Phone Number | 5056255512 |
| Fax Number | 5056251013 |
Provider's Primary Taxonomy Detail
| Speciality | Neuromusculoskeletal Medicine, Sports Medicine |
|---|---|
| Taxonomy | 204C00000X |
| Licence No | 95321 |
|
Definition: A Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician trained to be responsible for the continuous care in the field of sports medicine encompasses increased knowledge and understanding of osteopathic principles and practice |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 72080 | NM | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Robert Elden Pennington Md, Phd, Pc by the Centers for Medicare & Medicaid Services?
The Robert Elden Pennington Md, Phd, Pc has been assigned the NPI (National Provider Identifier) 1780873547 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Robert Elden Pennington Md, Phd, Pc is geographically located?
The Robert Elden Pennington Md, Phd, Pc is physically situated at the following location: 1 El Arco Iris Dr, Roswell, NM, 882017711.
What is Robert Elden Pennington Md, Phd, Pc's area of expertise and its corresponding taxonomy classification?
The Robert Elden Pennington Md, Phd, Pc's field of specialization is Neuromusculoskeletal Medicine, Sports Medicine, and it falls under the taxonomy code 204C00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1780873547 to Robert Elden Pennington Md, Phd, Pc?
The Centers for Medicare & Medicaid Services originally issued the 1780873547 to Robert Elden Pennington Md, Phd, Pc on 2007-10-17.
As of what date was the information pertaining to Robert Elden Pennington Md, Phd, Pc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Robert Elden Pennington Md, Phd, Pc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-10-17.
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