Whalio Doctors

NPI 1780873547

Robert Elden Pennington MD, PHD, PC

Organisation Sports Medicine (Neuromusculoskeletal Medicine) Physician Roswell, NM

Practice location

Address
1 El Arco Iris Dr, Roswell, NM 88201-7711
Phone
(505) 625-5512
Fax
(505) 625-1013

Authorised official

Name
Robert Pennington
Title
Physician Owner
Phone
(505) 625-5512

Registered specialties (2)

Sports Medicine (Neuromusculoskeletal Medicine) Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 204C00000X Licence 95321 (NM)
Pain Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 208VP0000X Licence 95321 (NM)

Registry record

NPI
1780873547
Entity type
Organization
NPI issued
17 Oct 2007
Record last updated
17 Oct 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.