Dr. John Leslie Pennock
Cardiothoracic Vascular Surgeon
423 N 21st St Suite 300
Camp Hill
, Pennsylvania 17011-2207
Dr. John Leslie Pennock
Cardiothoracic Vascular Surgeon
423 N 21st St Suite 300
Camp Hill
, Pennsylvania 17011-2207
(717) 975-2724
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About
Features
Specialties
- Cardiothoracic Vascular Surgeon
Languages spoken
- English
Location
First Address
- Dr. John Leslie Pennock
- 205 Grandview Ave Suite 210
- Camp Hill, PA
- Zip : 17011-1708
- Fax : (717) 975-2724
- Phone : (717) 975-0900
Second Address
- Dr. John Leslie Pennock
- 423 N 21st St Suite 300
- Camp Hill, PA
- Zip : 17011-2207
- Fax : (717) 975-2724
- Phone : (717) 975-0900
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208G00000X | Cardiothoracic Vascular Surgeon | MD014586E | PA |
National Provider Identifier
| NPI | 1154389559 |
|---|---|
| Provider Name | Dr. John Leslie Pennock |
| First Address | Camp Hill, PA 17011-1708 |
| Second Address | Camp Hill, PA 17011-2207 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/05/2006 |
| Last Update Date | 03/05/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| B35148 | (02) | PA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.