Robert Elden Pennington Md, Phd, Pc

LBN: Robert Elden Pennington Md, Phd, Pc
Robert Elden Pennington Md, Phd, Pc is an health care organization with primary practice located at 1 El Arco Iris Dr , Roswell NM 88201-7711. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine, Sports Medicine, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine, Sports Medicine is the primary health care specialty. Robert Elden Pennington Md, Phd, Pc can be contacted via phone (505) 625-5512, or through Pennington, Robert via phone (505) 625-5512.

Contact Information

Primary practice address
1 El Arco Iris Dr Roswell NM 88201-7711
Phone: (505) 625-5512
Fax: (505) 625-1013
Website:
Map and Directions
Authorized official contact:
Name: Pennington, Robert M.D., PHD
Phone: (505) 625-5512

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine, Sports Medicine 204C00000X 95321 New Mexico
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X 95321 New Mexico

Profile Details

NPI number 1780873547
LBN Legal business name Robert Elden Pennington Md, Phd, Pc
DBA Doing business as
Authorized official Pennington, Robert M.D., PHD
Entity Organization
Organization subpart 1 No
Enumeration date Oct 17th, 2007
Last updated Oct 17th, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780873547 NPPES
New Mexico MEDICAID 72080

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