Mary Jane Pennington in West Valley City - Pediatrics

Mary Jane Pennington - NPI 1205868452

Mary Jane Pennington is a Pediatrics in West Valley City, Utah. Mary Jane Pennington practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Mary Jane Pennington is 1205868452. The last update date is 2013-05-13.

Mary Jane Pennington's current location address is 3725 W 4100 South, West Valley City, Utah. You can contact this provider via phone number 8019653600 and fax number 8019653526. The mailing address for Mary Jane Pennington is 3725 W 4100 South, West Valley City, Utah. To know further, please read the information below!

Provider Profile Detail

Provider Name Mary Jane Pennington
Address 3725 W 4100 South, West Valley City, Utah
Phone Number 8019653600
Fax Number 8019653526
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1205868452
Provider Enumeration Date 2006-07-07
Last Updated Date 2013-05-13

Provider Mailing Address Detail

Address 3725 W 4100 South
City West Valley City
State Utah (UT)
Post Code 84120
Phone Number 8019653600
Fax Number 8019653526

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No 1750881205
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

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FAQs about Mary Jane Pennington

What is the Mary Jane Pennington's 1205868452?

The Mary Jane Pennington's NPI (National Provider Identifier) Number is 1205868452. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Mary Jane Pennington is physically located?

The Mary Jane Pennington is physically situated at the following address: 3725 W 4100 South, West Valley City, UT, 84120.

What is Mary Jane Pennington's area of expertise and its corresponding taxonomy classification?

The Mary Jane Pennington's field of specialization is Pediatrics, and it falls under the taxonomy code 208000000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Mary Jane Pennington receive the assignment of its 1205868452 from the Centers for Medicare & Medicaid Services?

The Mary Jane Pennington was issued its 1205868452 by the Centers for Medicare & Medicaid Services on 2006-07-07.

As of what date was the information regarding Mary Jane Pennington, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Mary Jane Pennington, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2013-05-13.

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