person
Bruce L. Pennington, MD
Diagnostic Radiology Physician in Gallipolis, Ohio
NPI 1396785424

Bruce L. Pennington is a Diagnostic Radiology Physician based in Gallipolis, OH and is specialized in Diagnostic Radiology. Bruce L. Pennington practices in Gallipolis, OH and has the professional credentials of MD. The NPI Number for Bruce L. Pennington is 1396785424 and holds a License No. 16694 (Ohio).

The current practice location address for Bruce L. Pennington is 100 Jackson Pike, Gallipolis, OH and can be reached out via phone at 740-446-5289 and via fax at 740-446-5697.

Location: 100 Jackson Pike, Gallipolis, OH, 45631-1560
person
Provider Profile Details
NPI Number
1396785424
Provider Name
Bruce L. Pennington
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
100 Jackson Pike, Gallipolis, OH, 45631-1560
Phone Number
740-446-5289
Fax Number
740-446-5697
Provider Enumeration Date
06/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0118365000 05 WV
000000007285 01 ANTHEM BCBS
000000193002 01 OH UNISON MEDICAID
001714061 01 MOUNTAIN STATE BCBS
0798650 01 OH MOLINA MEDICAID
300028175 01 RR MEDICARE
institution
Provider Business Practice Location Address Details
Address
100 Jackson Pike
City
State
Zip
45631-1560
Phone Number
740-446-5289
Fax Number
740-446-5697
person
Provider Business Mailing Address Details
Address
100 Jackson Pike
City
State
Zip
45631-1560
Phone Number
740-446-5289
Fax Number
740-446-5697
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
16694 (West Virginia)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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