Individual provider · Type 1 NPI

Marvin Dean Pennington, PA

Surgical Physician Assistant · Tyler, TX

NPI number 1972534683 Active

Practice location

3414 Golden Rd
Tyler, TX 75701-8336

Fax (800) 248-0426

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1972534683

Marvin Dean Pennington, PA's National Provider Identifier is 1972534683, issued on Jul 5, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Tyler, TX. The record was last updated on May 19, 2024.