BRENT MICHAEL PENNELLY

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.

Contact

345 S HALCYON RD
ARROYO GRANDE
CA
934203817

Tel: 9258204335

BRENT MICHAEL PENNELLY Information

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

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