Provider profile

Individual

Mary Jane Pennington

Pediatrics in West Valley City, UT. NPI 1205868452, listed in the CMS NPI Registry since 07/07/2006. Bills Medicare.

NPI 1205868452Specialty PediatricsEnumerated 07/07/2006
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Registry and Medicare facts

Practice location
2965 W 3500 S, West Valley City, UT 84119
CMS NPI Registry
Phone
(801) 965-3600
CMS NPI Registry
Specialty
Pediatrics
CMS NPI Registry
Enumeration date
07/07/2006
CMS NPI Registry
Bills Medicare
Yes
CMS Medicare 2024
Medicare patients
7,014 Part B
CMS Medicare 2024

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