Individual provider · Type 1 NPI

Paige Koenig Pennebacker, MD

Surgery Physician · Bradenton, FL

NPI number 1891784724 Active

Practice location

315 75th St W
Bradenton, FL 34209-3201

Call (941) 761-0500 Map

Fax (855) 521-2857

Mailing address

PO Box 14731
Bradenton, FL 34280-4731

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician Primary 208600000XME62365 (FL)

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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About NPI 1891784724

Paige Koenig Pennebacker, MD's National Provider Identifier is 1891784724, issued on Oct 13, 2005. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Bradenton, FL. The record was last updated on Oct 3, 2018.