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NPI Code Detail

MEDICARE: DR. DONALD W. PENNINGTON D.O.

MEDICARE:  DR. DONALD W. PENNINGTON  D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207X00000XOrthopaedic Surgery PhysicianDO3274NV

General Provider Information

NPI Number : 1538112792
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DONALD W. PENNINGTON D.O.
Provider Business Mailing Address
First Line : 9499 W CHARLESTON BLVD STE 200
Second Line :
City : LAS VEGAS
State : NV
Zip : 89117-7147
Country : US
Telephone Number : 702-933-9393
Fax Number : 702-933-6789
Provider Business Practice Location Address
First Line : 9499 W CHARLESTON BLVD STE 200
Second Line :
City : LAS VEGAS
State : NV
Zip : 89117-7147
Country : US
Telephone Number : 29-339-3937
Fax Number : 702-933-6789
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2006
Last Update Date : 09/16/2025

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Directions to “ DR. DONALD W. PENNINGTON D.O.” Practice Location

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