Individual provider · Type 1 NPI
Gregory D. Pennock, MD
Cardiovascular Disease Physician · Sandpoint, ID
NPI number
1700889607
Active · reactivated Apr 4, 2006
Practice location
423 N Third Ave Ste 335
Sandpoint, ID 83864
Fax (208) 265-7071
Mailing address
2003 Kootenai Health Way
Coeur D Alene, ID 83814-6051
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Cardiovascular Disease Physician Primary | 207RC0000X | M12621 (ID) |
Cardiovascular Disease Physician: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Other cardiovascular disease physician providers in Sandpoint
About NPI 1700889607
Gregory D. Pennock, MD's National Provider Identifier is 1700889607, issued on May 24, 2005. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Sandpoint, ID. The record was last updated on Jun 8, 2018.