“Diagnostic Radiology Physician” (Dover Afb, DE)

Location: Dover Afb, DE
Taxonomy: Diagnostic Radiology Physician.

A provider can have more than one taxonomy code. It is critical to register all applicable taxonomy codes with NPPES and to use the correct taxonomy code to represent the specific specialty when filing claims. This will assist in more accurate and timely processing of claims.

1588651020 — TIMOTHY LEE PENDERGRASS MD

Practice Location Address:

300 TUSKEGEE BLVD 436 MDG CC STE 1B22
DOVER AFB DE
19902-5300

Practice Phone: 302-677-2525