Dr BRENT MICHAEL PENNELLY is a male medical professional, specializing in Physical Medicine And Rehabilitation. He graduated in 2013 from Loyola University Of Chicago, Stritch School Of Medicine.
345 S HALCYON RD
ARROYO GRANDE
CA
934203817
Tel: 9258204335
Npi | 1164868873 |
Pac Id | 2264662402 |
Professional Enrollment Id | I20180619003103 |
Last Name | PENNELLY |
First Name | BRENT |
Middle Name | MICHAEL |
Suffix | |
Gender | M |
Credential | |
Medical School Name | LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE |
Graduation Year | 2013 |
Primary Specialty | PHYSICAL MEDICINE AND REHABILITATION |
Secondary Specialty 1 | |
Secondary Specialty 2 | |
Secondary Specialty 3 | |
Secondary Specialty 4 | |
All Secondary Specialties | |
Organization Legal Name | |
Group Practice Pac Id | |
Number Of Group Practice Members | |
Line 1 Street Address | 345 S HALCYON RD |
Line 2 Street Address | |
Marker Of Address Line 2 Suppression | |
City | ARROYO GRANDE |
State | CA |
Zip Code | 934203817 |
Phone Number | 9258204335 |
Hospital Affiliation Ccn 1 | 050107 |
Hospital Affiliation Lbn 1 | MARIAN REGIONAL MEDICAL CENTER |
Hospital Affiliation Ccn 2 | |
Hospital Affiliation Lbn 2 | |
Hospital Affiliation Ccn 3 | |
Hospital Affiliation Lbn 3 | |
Hospital Affiliation Ccn 4 | |
Hospital Affiliation Lbn 4 | |
Hospital Affiliation Ccn 5 | |
Hospital Affiliation Lbn 5 | |
Professional Accepts Medicare Assignment | Y |
Leave your comments, questions and feedback on this listing below. You can also correct any listing errors or omissions.